MOJDEH FATEMI D.D.S., A CORPORATION
NPI: 1639620990
· MAYWOOD, CA 90270
· Dentist
· NPI assigned 10/20/2016
$48.00
Total Medicaid Paid
Provider Details
| Authorized Official | FATEMI, MOJDEH (DENTIST) |
| NPI Enumeration Date | 10/20/2016 |
Related Entities
Other providers sharing the same authorized official: FATEMI, MOJDEH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
12 |
$48.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$48.00 |