NPI: 1174096309 · BANGOR, ME 04401 · Chiropractor · NPI assigned 01/10/2019
| Authorized Official | VANIDESTINE, THOMAS (OWNER) |
| NPI Enumeration Date | 01/10/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 26 | $307.04 |
| 2020 | 54 | $617.38 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 98940 | 80 | 38 | $924.42 |