NPI: 1366593097 · DUARTE, CA 91010 · General Practice Dentistry · NPI assigned 01/16/2007
| Authorized Official | BANAWIS, MICHAEL (DENTIST) |
| NPI Enumeration Date | 01/16/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $495.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $495.00 |