NPI: 1346001922 · EAGLE RIVER, AK 99577 · General Practice Dentistry · NPI assigned 01/19/2024
| Authorized Official | SCHWARTZ, COURTNEY (DENTIST/OWNER) |
| NPI Enumeration Date | 01/19/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $342.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 12 | 12 | $342.00 |