NPI: 1043704901 · BIDDEFORD, ME 04005 · Dentist · NPI assigned 06/14/2018
| Authorized Official | HAMEL, PAOLA MELISSA (PRESIDENT) |
| NPI Enumeration Date | 06/14/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $156.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 13 | 13 | $156.00 |