FLANDREAU DENTAL
NPI: 1366934408
· FLANDREAU, SD 57028
· General Practice Dentistry
· NPI assigned 06/05/2018
$394.81
Total Medicaid Paid
Provider Details
| Authorized Official | FORD, MATTHEW (OWNER) |
| NPI Enumeration Date | 06/05/2018 |
Related Entities
Other providers sharing the same authorized official: FORD, MATTHEW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
13 |
$394.81 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$394.81 |