NPI: 1245606789 · EL CENTRO, CA 92243 · Public Health Dentist · NPI assigned 08/19/2015
| Authorized Official | AGHALOO, JAVAD (OWNER) |
| NPI Enumeration Date | 08/19/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 167 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 167 | 33 | $9K |