NPI: 1235551508 · BURKE, VA 22015 · Dentist · NPI assigned 01/06/2014
| Authorized Official | SEDAGHATPOUR, HASHEM (OWNER) |
| NPI Enumeration Date | 01/06/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $0.00 |
| 2024 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 25 | 25 | $0.00 |