NPI: 1336537786 · BAXTER SPRINGS, KS 66713 · Dental Clinic/Center · NPI assigned 01/07/2015
| Authorized Official | GREENWOOD, ANTHONY (OWNER/DENTIST) |
| NPI Enumeration Date | 01/07/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $204.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 12 | 12 | $204.00 |