NPI: 1699848820 · PALMDALE, CA 93550 · Dentist · NPI assigned 11/16/2006
| Authorized Official | GREEN, NEAL (OWNER) |
| NPI Enumeration Date | 11/16/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 18 | $595.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 18 | 18 | $595.00 |