NPI: 1447505482 · SANTA PAULA, CA 93060 · Dental Clinic/Center · NPI assigned 07/16/2012
| Authorized Official | SASADA, BRIAN (PRESIDENT/OWNER) |
| NPI Enumeration Date | 07/16/2012 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $144.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0230 | Intraoral - periapical each additional radiographic image | 15 | 12 | $144.00 |