POUYAN & KHANIDEH DENTAL CORPORATION
NPI: 1952678922
· ENCINO, CA 91436
· General Practice Dentistry
· NPI assigned 11/18/2011
Provider Details
| Authorized Official | POUYAN, MEHRA (OWNER) |
| NPI Enumeration Date | 11/18/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
106 |
$2K |
| 2019 |
27 |
$856.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9430 |
|
72 |
72 |
$2K |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$720.00 |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$231.00 |
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$102.00 |