NPI: 1497157002 · KAILUA, HI 96734 · Dentist · NPI assigned 09/25/2014
| Authorized Official | WOOD, SUMMER (OWNER) |
| NPI Enumeration Date | 09/25/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $349.44 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $349.44 |