NPI: 1326688706 · AVON, MA 02322 · Dental Clinic/Center · NPI assigned 01/13/2020
| Authorized Official | SARDHARA, MRUGANK (MEMBER) |
| NPI Enumeration Date | 01/13/2020 |
Other providers sharing the same authorized official: SARDHARA, MRUGANK
| Provider | City | State | Total Paid |
|---|---|---|---|
| CREATIVE DENTAL GROUP, PLLC | NEW BEDFORD | MA | $3.89M |
| CREATIVE SMILES DENTAL CARE, PLLC | BROCKTON | MA | $1.39M |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $825.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 13 | 13 | $825.00 |