NPI: 1336554039 · MENOMONIE, WI 54751 · General Practice Dentistry · NPI assigned 06/23/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $154.68 |
| 2020 | 17 | $206.24 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 29 | 28 | $360.92 |