NPI: 1649399148 · FRIENDSHIP, WI 53934 · Public Health or Welfare Agency · NPI assigned 03/28/2007
| Authorized Official | PRZYBYLSKI, CODY (PUBLIC HEALTH OFFICER) |
| NPI Enumeration Date | 03/28/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $33.97 |
| 2020 | 14 | $180.46 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 27 | 27 | $214.43 |