NPI: 1386043933 · DANBURY, CT 06810 · Dentist · NPI assigned 08/20/2014
| Authorized Official | SONG, NAMI (DENTIST) |
| NPI Enumeration Date | 08/20/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $395.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 12 | $395.50 |