NPI: 1215448006 · CARMEL, NY 10512 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 10/19/2017
| Authorized Official | GALLAGHER, ELIZABETH (PRACTICE MANAGER) |
| NPI Enumeration Date | 10/19/2017 |
Other providers sharing the same authorized official: GALLAGHER, ELIZABETH
| Provider | City | State | Total Paid |
|---|---|---|---|
| NORTHERN WESTCHESTER ORTHODONTICS | CARMEL | NY | $40K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $2K |
| 2021 | 68 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 80 | 80 | $7K |