NPI: 1518629211 · HAVERHILL, MA 01832 · Dentist · NPI assigned 10/10/2021
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 245 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 101 | 77 | $8K |
| D0274 | Bitewings - four radiographic images | 52 | 52 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 41 | 37 | $1K |
| D0120 | Periodic oral evaluation - established patient | 51 | 51 | $1K |