NPI: 1215183645 · OLD TOWN, ME 04468 · Dental Clinic/Center · NPI assigned 08/18/2008
Authorized official DWYER, LORI controls 20+ related entities in our dataset. Read more
| Authorized Official | DWYER, LORI (PRESIDENT & CEO) |
| Parent Organization | PENOBSCOT COMMUNITY HEALTH CENTER |
| NPI Enumeration Date | 08/18/2008 |
Other providers sharing the same authorized official: DWYER, LORI
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 381 | $36K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 222 | 194 | $35K |
| D1206 | Topical application of fluoride varnish | 55 | 54 | $345.80 |
| D0140 | Limited oral evaluation - problem focused | 33 | 32 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 40 | 40 | $0.00 |
| D1120 | Prophylaxis - child | 16 | 16 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 15 | 15 | $0.00 |