NPI: 1609487768 · MIDLAND, MI 48640 · General Practice Dentistry · NPI assigned 08/12/2020
| Authorized Official | THOMPSON, BART (OWNER) |
| NPI Enumeration Date | 08/12/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $200.21 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 12 | 12 | $200.21 |