NPI: 1528126307 · HACKENSACK, NJ 07601 · Dental Clinic/Center · NPI assigned 12/05/2006
| Authorized Official | MAMAH, JUDITH (PRESIDENT) |
| NPI Enumeration Date | 12/05/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $180.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $180.00 |