NPI: 1760257463 · CARMEL, IN 46032 · Dentist · NPI assigned 11/22/2023
| Authorized Official | ALSABIA, WAJDI (OWNER) |
| NPI Enumeration Date | 11/22/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 17 | $720.16 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 17 | 15 | $720.16 |