NPI: 1619411907 · WESTLAND, MI 48186 · General Practice Dentistry · NPI assigned 12/06/2016
| Authorized Official | SHANKAR, SUNILA (OWNER) |
| NPI Enumeration Date | 12/06/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 27 | $783.75 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 27 | 27 | $783.75 |