NPI: 1649896069 · SAINT JOHNSBURY, VT 05819 · General Practice Dentistry · NPI assigned 06/22/2020
| Authorized Official | CHARRON, JULIE (OFFICE MANAGER) |
| NPI Enumeration Date | 06/22/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 13 | $325.00 |
| 2023 | 12 | $300.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 25 | 25 | $625.00 |