NPI: 1346581410 · WOODSIDE, NY 11377 · Dental Clinic/Center · NPI assigned 03/14/2013
| Authorized Official | ALAVI, MOHAMMAD (PROSTHODONTIST) |
| NPI Enumeration Date | 03/14/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $418.00 |
| 2019 | 12 | $401.48 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24 | 24 | $819.48 |