NPI: 1831816503 · BUCKEYE, AZ 85326 · General Practice Dentistry · NPI assigned 10/24/2022
| Authorized Official | KHAN, AYESHAW (DENTIST) |
| NPI Enumeration Date | 10/24/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 15 | $147.29 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 15 | 13 | $147.29 |