ALI KHOSROVANI DDS INC
NPI: 1336383843
· LOS ANGELES, CA 90042
· Dental Clinic/Center
· NPI assigned 04/28/2009
$891.00
Total Medicaid Paid
Provider Details
| Authorized Official | KHOSROVANI, ALI (OWNER DENTIST) |
| NPI Enumeration Date | 04/28/2009 |
Related Entities
Other providers sharing the same authorized official: KHOSROVANI, ALI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
14 |
$891.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$891.00 |