NPI: 1073275376 · LEWISTON, MI 49756 · Dental Clinic/Center · NPI assigned 10/13/2021
| Authorized Official | SHEPPARD, REBEKAH (OWNER) |
| NPI Enumeration Date | 10/13/2021 |
Other providers sharing the same authorized official: SHEPPARD, REBEKAH
| Provider | City | State | Total Paid |
|---|---|---|---|
| SHEPPARD DENTAL HEALTH AND ASSOCIATES | GAYLORD | MI | $62K |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $390.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 13 | 13 | $390.00 |