NPI: 1407989254 · NEWARK, NJ 07108 · Dental Clinic/Center · NPI assigned 03/13/2007
| Authorized Official | DAVIS, THEODORE (DENTIST) |
| NPI Enumeration Date | 03/13/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $231.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 13 | 12 | $231.00 |