NPI: 1144342825 · BLOOMFIELD HILLS, MI 48304 · General Practice Dentistry · NPI assigned 04/04/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $275.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 12 | 12 | $275.00 |