NPI: 1093331191 · CHELMSFORD, MA 01824 · Dental Clinic/Center · NPI assigned 06/24/2020
| Authorized Official | GHAZI, GHAZWAN (PERIODONTIST) |
| NPI Enumeration Date | 06/24/2020 |
Other providers sharing the same authorized official: GHAZI, GHAZWAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| AMG DENTAL GROUP PC | QUINCY | MA | $629K |
| CANTON DENTAL GROUP | CANTON | MA | $572K |
| BROCKTON DENTAL GROUP P.C. | BROCKTON | MA | $37K |
| WINTER STREET DENTAL GROUP | HYANNIS | MA | $35K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 42 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 42 | 40 | $2K |