NPI: 1518365782 · BROOKLYN, NY 11216 · Preferred Provider Organization · NPI assigned 12/19/2014
| Authorized Official | KALYANARAMAN, GOPALSWAMY (DENTIST) |
| NPI Enumeration Date | 12/19/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 13 | $102.68 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $102.68 |