NPI: 1467650747 · LEWISVILLE, TX 75067 · General Practice Dentistry · NPI assigned 07/06/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $280.20 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 15 | 15 | $280.20 |