NPI: 1346400371 · SAN FERNANDO, CA 91340 · General Practice Dentistry · NPI assigned 06/12/2008
| Authorized Official | JARA, JAVIER (DENTIST) |
| NPI Enumeration Date | 06/12/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $116.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 12 | 12 | $116.00 |