NPI: 1871666586 · ELIZABETH, NJ 07201 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 11/17/2006
| Authorized Official | KANDOU, HERAWATI (PRESIDENT ORTHODONTIST) |
| NPI Enumeration Date | 11/17/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 319 | $23K |
| 2019 | 301 | $6K |
| 2020 | 117 | $3K |
| 2021 | 13 | $430.86 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 750 | 749 | $32K |