NPI: 1417224981 · PALMDALE, CA 93551 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 11/28/2011
| Authorized Official | RIDDLE, WENDI (CEO) |
| NPI Enumeration Date | 11/28/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 330 | $0.00 |
| 2019 | 255 | $0.00 |
| 2020 | 116 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 701 | 678 | $0.00 |