NPI: 1861564577 · ELK GROVE, CA 95624 · Dentist · NPI assigned 11/15/2006
| Authorized Official | SALCIDO, ELAINE (CONTRACT SUPERVISOR) |
| NPI Enumeration Date | 11/15/2006 |
Other providers sharing the same authorized official: SALCIDO, ELAINE
| Provider | City | State | Total Paid |
|---|---|---|---|
| SUE & ASSOCIATES, PC | LAS VEGAS | NV | $60K |
| COMMUNITY DENTAL SERVICES | CITRUS HEIGHTS | CA | $28K |
| COMMUNITY DENTAL SERVICES | FOLSOM | CA | $6K |
| COMMUNITY DENTAL SERVICES | PALMDALE | CA | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 211 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 211 | 160 | $9K |