NPI: 1417161308 · GLENDALE, AZ 85021 · Dental Clinic/Center · NPI assigned 05/09/2007
| Authorized Official | PROKOPETS, OLGA (OWNER) |
| NPI Enumeration Date | 05/09/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 15 | $34.29 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 15 | 12 | $34.29 |