NPI: 1376055574 · LOS LUNAS, NM 87031 · Dental Clinic/Center · NPI assigned 10/27/2017
| Authorized Official | YOON, JAJUNG (CEP) |
| NPI Enumeration Date | 10/27/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $117.92 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 12 | 12 | $117.92 |