NPI: 1285854810 · WAIPAHU, HI 96797 · General Practice Dentistry · NPI assigned 04/26/2007
| Authorized Official | IKENO, JASON (PRESIDENT) |
| NPI Enumeration Date | 04/26/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 15 | $436.80 |
| 2024 | 12 | $349.44 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 27 | 27 | $786.24 |