NPI: 1639306145 · UPPER MARLBORO, MD 20772 · Dentist · NPI assigned 06/11/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $299.04 |
| 2020 | 12 | $299.04 |
| 2021 | 15 | $373.80 |
| 2023 | 13 | $323.96 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 52 | 52 | $1K |