NPI: 1669569299 · COMMERCE TWP, MI 48382 · General Practice Dentistry · NPI assigned 10/06/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $325.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 13 | 13 | $325.00 |