NPI: 1821485350 · WESTLAKE VILLAGE, CA 91361 · Clinic/Center · NPI assigned 04/22/2015
| Authorized Official | GEORGIAN, SONA (PRESIDENT) |
| NPI Enumeration Date | 04/22/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $792.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $792.00 |