NPI: 1386376481 · KANEOHE, HI 96744 · Dental Clinic/Center · NPI assigned 06/28/2022
| Authorized Official | LUM, BRENDT (DENTIST) |
| NPI Enumeration Date | 06/28/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $349.44 |
| 2023 | 27 | $891.00 |
| 2024 | 66 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 105 | 105 | $3K |