NPI: 1730917576 · WINDSOR, CT 06095 · General Practice Dentistry · NPI assigned 07/23/2024
| Authorized Official | BEASON-BROWN, SOPHIA (GENERAL DENTISTRY) |
| NPI Enumeration Date | 07/23/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 14 | $61.75 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0220 | Intraoral - periapical first radiographic image | 14 | 12 | $61.75 |