NPI: 1235718420 · WAIANAE, HI 96792 · Student in an Organized Health Care Education/Training Program · NPI assigned 04/05/2021
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 12 | 12 | $0.00 |