NPI: 1740209030 · STORRS MANSFIELD, CT 06268 · General Practice Dentistry · NPI assigned 07/18/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $296.80 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 12 | $296.80 |