MY DENTIST
NPI: 1417026584
· BROOKLINE, MA 02446
· Endodontist
· NPI assigned 11/06/2006
Provider Details
| Authorized Official | LOZADA, IGOR (OWNER) |
| NPI Enumeration Date | 11/06/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
28 |
28 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$308.00 |