NPI: 1568026987 · SANTEE, CA 92071 · Dental Clinic/Center · NPI assigned 05/01/2019
| Authorized Official | REIDY, EDWARD (GENERAL DENTIST) |
| NPI Enumeration Date | 05/01/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $792.00 |
| 2021 | 12 | $792.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 24 | 24 | $2K |