NPI: 1417658337 · ENCINO, CA 91316 · Pediatric Dentist · NPI assigned 03/16/2023
| Authorized Official | JOSEFSSON, EVALINA (PRESIDENT) |
| NPI Enumeration Date | 03/16/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 598 | $18K |
| 2024 | 8,222 | $250K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | 974 | 974 | $50K | |
| D0150 | 714 | 714 | $47K | |
| D1351 | 759 | 186 | $28K | |
| D2392 | 329 | 164 | $23K | |
| D1310 | 458 | 458 | $21K | |
| D0120 | 284 | 284 | $15K | |
| D1208 | 806 | 806 | $14K | |
| D0230 | 2,447 | 532 | $11K | |
| D0210 | 175 | 175 | $8K | |
| D0145 | 127 | 127 | $8K | |
| D2393 | 81 | 59 | $7K | |
| D0603 | 457 | 457 | $7K | |
| D1206 | 219 | 219 | $6K | |
| D9430 | 133 | 125 | $4K | |
| D0274 | 205 | 205 | $4K | |
| D0220 | 317 | 314 | $4K | |
| D1110 | 42 | 42 | $4K | |
| D9230 | 78 | 71 | $3K | |
| D2391 | 35 | 15 | $2K | |
| D0350 | 128 | 65 | $1K | |
| D0272 | 52 | 52 | $667.00 |