NPI: 1477683530 · NORTH CONWAY, NH 03860 · Dentist · NPI assigned 03/07/2007
| Authorized Official | BECHTOLD, ROBERT (PARTNER) |
| NPI Enumeration Date | 03/07/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $675.96 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 13 | 12 | $675.96 |