NPI: 1295722833 · LOS GATOS, CA 95032 · Pediatric Dentist · NPI assigned 09/29/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $630.00 |
| 2019 | 18 | $810.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 32 | 32 | $1K |