NPI: 1942736988 · HALTOM CITY, TX 76137 · General Practice Dentistry · NPI assigned 05/11/2017
| Authorized Official | KOHLI, SHIV (OWNER) |
| NPI Enumeration Date | 05/11/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 12 | 12 | $0.00 |