NPI: 1669801569 · WASHINGTON, DC 20003 · General Practice Dentistry · NPI assigned 11/01/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $270.44 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 13 | 13 | $270.44 |