NPI: 1285292573 · BARSTOW, CA 92311 · General Practice Dentistry · NPI assigned 05/31/2019
| Authorized Official | RINCON, ALBERT (OWNER) |
| NPI Enumeration Date | 05/31/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 49 | $218.70 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 49 | 12 | $218.70 |