NPI: 1275068108 · VISTA, CA 92084 · Dentist · NPI assigned 04/28/2017
| Authorized Official | EISSA, KHALED (OFFICER) |
| NPI Enumeration Date | 04/28/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $490.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 15 | 14 | $490.00 |