NPI: 1093240152 · MONTROSE, MI 48457 · Dentist · NPI assigned 04/26/2017
| Authorized Official | ABBOTT, JAIME (OWNER) |
| NPI Enumeration Date | 04/26/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $293.50 |
| 2024 | 29 | $550.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 42 | 42 | $844.00 |