NPI: 1497922348 · FARMINGDALE, NY 11735 · General Practice Dentistry · NPI assigned 05/09/2008
| Authorized Official | HAUPAGE, SHANTHI (CEO) |
| NPI Enumeration Date | 05/09/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 14 | $303.66 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 14 | 14 | $303.66 |