NPI: 1962265819 · CHINO, CA 91710 · Dental Clinic/Center · NPI assigned 02/02/2024
| Authorized Official | VILCHEZ, HELEN (CEO) |
| NPI Enumeration Date | 02/02/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 14 | $735.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 14 | 14 | $735.00 |