NPI: 1639756240 · SUTTONS BAY, MI 49682 · General Practice Dentistry · NPI assigned 03/28/2021
| Authorized Official | SORBER, JACOB (OWNER/DENTIST) |
| NPI Enumeration Date | 03/28/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $312.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 12 | 12 | $312.00 |