NPI: 1891236766 · BIDDEFORD, ME 04005 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 03/13/2017
| Authorized Official | TEGUIS, COREY (OWNER) |
| NPI Enumeration Date | 03/13/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $33K |
| 2024 | 15 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 27 | 24 | $68K |