NPI: 1770113029 · SHERMAN OAKS, CA 91403 · Dental Clinic/Center · NPI assigned 01/24/2020
| Authorized Official | AVANESS, KARINEH (DENTIST/OWNER) |
| NPI Enumeration Date | 01/24/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $792.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $792.00 |