NPI: 1720828338 · PLEASANTON, CA 94566 · Dentist · NPI assigned 05/30/2024
| Authorized Official | DURVASULA, MADHAVI (DENTIST/OWNER) |
| NPI Enumeration Date | 05/30/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $792.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $792.00 |