ALICE PECK DAY MEMORIAL HOSPITAL
NPI: 1417407388
· LEBANON, NH 03766
· Public Health Dentist
· NPI assigned 10/04/2016
Provider Details
| Authorized Official | MOONEY, SUSAN (CEO/PRESIDENT) |
| Parent Organization | ALICE PECK DAY MEMORIAL HOSPITAL |
| NPI Enumeration Date | 10/04/2016 |
Related Entities
Other providers sharing the same authorized official: MOONEY, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
803 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
567 |
84 |
$16K |
| D1206 |
Topical application of fluoride varnish |
236 |
229 |
$4K |