NPI: 1750401758 · MARLBOROUGH, MA 01752 · General Practice Dentistry · NPI assigned 03/31/2007
| Authorized Official | ALBANESE, DOMENIC (GENERAL PARTNER) |
| NPI Enumeration Date | 03/31/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $348.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $348.00 |