NPI: 1740505908 · JACKSON, NJ 08527 · Assisted Living Facility · NPI assigned 03/31/2010
| Authorized Official | DANTONIO, THERESA (DENTIST/OWNER) |
| NPI Enumeration Date | 03/31/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16 | $224.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 16 | 16 | $224.00 |