NPI: 1588055925 · BROOKLINE, MA 02445 · Dentist · NPI assigned 02/06/2015
| Authorized Official | LIU, XINYAN (OWNER/MANAGER) |
| NPI Enumeration Date | 02/06/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $267.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $267.00 |