NPI: 1952901753 · GEORGETOWN, TX 78628 · Dental Clinic/Center · NPI assigned 10/29/2020
| Authorized Official | PHAM, HIEP (DOCTOR) |
| NPI Enumeration Date | 10/29/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 15 | $317.88 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 15 | 12 | $317.88 |