NPI: 1598739153 · SOUTH LYON, MI 48178 · General Practice Dentistry · NPI assigned 02/13/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $300.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 12 | 12 | $300.00 |