NPI: 1962119826 · KEALAKEKUA, HI 96750 · Pediatric Dentist · NPI assigned 10/31/2022
| Authorized Official | GRIFFITH, THOMAS (OWNER) |
| NPI Enumeration Date | 10/31/2022 |
Other providers sharing the same authorized official: GRIFFITH, THOMAS
| Provider | City | State | Total Paid |
|---|---|---|---|
| CITY OF LANCASTER | LANCASTER | TX | $962K |
| KONA PEDIATRIC DENTISTRY LLC | KAILUA KONA | HI | $241K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9420 | 12 | 12 | $2K |