NPI: 1558446443 · SHERIDAN, IN 46069 · General Practice Dentistry · NPI assigned 10/26/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $267.78 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 14 | 13 | $267.78 |