NPI: 1366877557 · SHERMAN OAKS, CA 91411 · Dentist · NPI assigned 09/06/2013
| Authorized Official | BORNA, MAHSHID (PRESIDENT) |
| NPI Enumeration Date | 09/06/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 16 | $165.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 16 | 16 | $165.00 |