NPI: 1649880733 · SOUTH BURLINGTON, VT 05403 · Dentist · NPI assigned 08/04/2020
| Authorized Official | BENCH, STEPHEN (OWNER) |
| NPI Enumeration Date | 08/04/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 99 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 99 | 12 | $8K |