NPI: 1295950699 · CHARLESTON, SC 29403 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 04/13/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $226.80 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 14 | 14 | $226.80 |