NPI: 1982726139 · PAWTUCKET, RI 02861 · Dentist · NPI assigned 04/06/2007
| Authorized Official | VINCENT, HOWARD (CEO) |
| NPI Enumeration Date | 04/06/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $360.00 |
| 2019 | 14 | $420.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 26 | 26 | $780.00 |