NPI: 1942650973 · SCOTTSDALE, AZ 85260 · Dental Clinic/Center · NPI assigned 06/21/2016
| Authorized Official | KUMAR, RENUKA (PRESIDENT) |
| NPI Enumeration Date | 06/21/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $36.62 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 12 | 12 | $36.62 |