NPI: 1033248778 · CLAREMONT, NH 03743 · General Practice Dentistry · NPI assigned 03/05/2007
| Authorized Official | MAXFIELD, ROBERT (VICE PRESIDENT TREASURER) |
| NPI Enumeration Date | 03/05/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $366.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $366.00 |