NPI: 1205248226 · LA MESA, CA 91941 · Dental Clinic/Center · NPI assigned 05/25/2014
| Authorized Official | IMAI-MARSHALL, YO (PRESIDENT) |
| NPI Enumeration Date | 05/25/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $420.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 12 | 12 | $420.00 |