NPI: 1114147618 · WATERTOWN, MA 02472 · General Practice Dentistry · NPI assigned 04/26/2007
| Authorized Official | WOOD, SHELLEY (OFFICE MANAGER) |
| NPI Enumeration Date | 04/26/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 15 | $435.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 15 | 15 | $435.00 |