NPI: 1558138800 · WOODLAND, WA 98674 · General Practice Dentistry · NPI assigned 12/07/2023
| Authorized Official | YOUSSEF, HADI (PRESIDENT CEO) |
| NPI Enumeration Date | 12/07/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 139 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 30 | 30 | $1K |
| D0274 | Bitewings - four radiographic images | 26 | 25 | $368.94 |
| D0220 | Intraoral - periapical first radiographic image | 32 | 28 | $359.38 |
| D1206 | Topical application of fluoride varnish | 16 | 15 | $352.73 |
| D0230 | Intraoral - periapical each additional radiographic image | 35 | 26 | $85.62 |