NPI: 1619352010 · BETTENDORF, IA 52722 · Dentist · NPI assigned 07/27/2015
| Authorized Official | MCDOUGAL, CEMYIRA (CREDENTIALING) |
| Parent Organization | IOWA DENTAL HEALTH PROFESSIONALS, P.C. |
| NPI Enumeration Date | 07/27/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 15 | $259.56 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 15 | 14 | $259.56 |