NPI: 1578990545 · BRIDGTON, ME 04009 · General Practice Dentistry · NPI assigned 10/04/2013
| Authorized Official | CLOUTIER, PAUL (DENTIST) |
| NPI Enumeration Date | 10/04/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $416.78 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $416.78 |