NPI: 1275500985 · WEST HARTFORD, CT 06119 · General Practice Dentistry · NPI assigned 03/01/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $264.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 12 | $264.60 |