NPI: 1306216197 · LA HABRA, CA 90631 · Dentist · NPI assigned 10/06/2015
| Authorized Official | OH, DANIEL (PRESIDENT) |
| NPI Enumeration Date | 10/06/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 39 | $436.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 39 | 39 | $436.00 |