NPI: 1942214424 · LONGMEADOW, MA 01106 · General Practice Dentistry · NPI assigned 07/28/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28 | $617.00 |
| 2019 | 13 | $267.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 41 | 38 | $884.00 |