NPI: 1003641812 · KENSINGTON, MD 20895 · Dentist · NPI assigned 09/03/2024
| Authorized Official | HO, SUSAN (OWNER DENTIST) |
| NPI Enumeration Date | 09/03/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $315.48 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 12 | 12 | $315.48 |