NPI: 1619754736 · GLASTONBURY, CT 06033 · Dental Clinic/Center · NPI assigned 09/12/2023
| Authorized Official | KADAGAD, POORNIMA (DENTIST) |
| NPI Enumeration Date | 09/12/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 31 | $842.88 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 31 | 30 | $842.88 |