NPI: 1982164117 · QUEEN CREEK, AZ 85142 · Dental Clinic/Center · NPI assigned 03/22/2019
| Authorized Official | ALEXANDER, ELENA (MEMBER) |
| NPI Enumeration Date | 03/22/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $156.89 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 12 | 12 | $156.89 |