NPI: 1770782906 · BEDFORD, NH 03110 · Dentist · NPI assigned 07/17/2007
| Authorized Official | CHAGNON, JEAN (OWNER) |
| NPI Enumeration Date | 07/17/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 29 | $732.00 |
| 2019 | 15 | $457.50 |
| 2020 | 12 | $377.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 56 | 51 | $2K |