NPI: 1366647042 · MILTON, MA 02186 · General Practice Dentistry · NPI assigned 06/20/2007
| Authorized Official | HARTE, DAVID (PRESIDENT) |
| NPI Enumeration Date | 06/20/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $312.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 12 | 12 | $312.00 |