NPI: 1750514162 · NOVI, MI 48375 · General Practice Dentistry · NPI assigned 09/01/2009
| Authorized Official | CHOI, KYUNGHO (PRESIDENT) |
| NPI Enumeration Date | 09/01/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $333.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $333.00 |