NPI: 1841942489 · PINELLAS PARK, FL 33781 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 01/25/2022
| Authorized Official | CARRENO, MARIELLA (OFFICE MANAGER) |
| Parent Organization | 000000 |
| NPI Enumeration Date | 01/25/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 26 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 26 | 25 | $2K |