NPI: 1982394169 · ENCINO, CA 91316 · Dentist · NPI assigned 05/10/2023
| Authorized Official | POUR, MACY (PARTNER OWNER) |
| NPI Enumeration Date | 05/10/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $858.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 13 | 13 | $858.00 |