NPI: 1184174856 · SOUTH GATE, CA 90280 · General Practice Dentistry · NPI assigned 10/06/2016
| Authorized Official | NOROOZI, SEPIDEH (PRESIDENT) |
| NPI Enumeration Date | 10/06/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 37 | $9K |
| 2020 | 12 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 49 | 49 | $12K |