NPI: 1801923172 · ROMEO, MI 48065 · General Practice Dentistry · NPI assigned 02/27/2007
| Authorized Official | MAGSOUDI, MEHROD (PRESIDENT) |
| NPI Enumeration Date | 02/27/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $386.40 |
| 2022 | 13 | $298.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 27 | 27 | $684.60 |