NPI: 1265679146 · MANCHESTER, NH 03103 · General Practice Dentistry · NPI assigned 01/14/2009
| Authorized Official | PALAZZO, JONATHAN (MANAGER/OWNER) |
| NPI Enumeration Date | 01/14/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $305.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $305.00 |