NPI: 1952443921 · BOWIE, MD 20715 · General Practice Dentistry · NPI assigned 02/13/2007
| Authorized Official | DAVIS, TANZANIA (DENTIST OWNER) |
| NPI Enumeration Date | 02/13/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $407.12 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 14 | 12 | $407.12 |