NPI: 1548486830 · WEST HARTFORD, CT 06107 · General Practice Dentistry · NPI assigned 04/17/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 24 | $605.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 24 | 24 | $605.50 |