NPI: 1316053556 · N KINGSTON, RI 02852 · Dentist · NPI assigned 08/21/2006
| Authorized Official | BOSCRA, PAUL (DENTIST) |
| NPI Enumeration Date | 08/21/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17 | $360.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 17 | 12 | $360.00 |