NPI: 1447796644 · WATERVILLE, ME 04901 · General Practice Dentistry · NPI assigned 01/11/2017
| Authorized Official | O'KEEFE, BRENDAN (MANAGER) |
| NPI Enumeration Date | 01/11/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $171.92 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 12 | 12 | $171.92 |