NPI: 1033232053 · BAINBRIDGE ISLAND, WA 98110 · General Practice Dentistry · NPI assigned 04/06/2007
| Authorized Official | HEWETT, SALLY (OWNER DENTIST) |
| NPI Enumeration Date | 04/06/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 25 | $464.65 |
| 2019 | 15 | $270.57 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | 40 | 40 | $735.22 |