NPI: 1366751844 · SILVER SPRING, MD 20906 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 09/30/2010
| Authorized Official | SIEWE, MARIANNE (PRESIDENT) |
| NPI Enumeration Date | 09/30/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $299.04 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 12 | 12 | $299.04 |