NPI: 1033640883 · WATERTOWN, MA 02472 · Dentist · NPI assigned 03/23/2017
| Authorized Official | EILERS FURGAL, PERICHOLE (OWNER) |
| NPI Enumeration Date | 03/23/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 15 | $702.00 |
| 2024 | 16 | $795.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31 | 25 | $1K |