NPI: 1689194383 · ODENTON, MD 21113 · General Practice Dentistry · NPI assigned 06/23/2017
| Authorized Official | SHIN, JAI (OWNER) |
| NPI Enumeration Date | 06/23/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $299.04 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 12 | 12 | $299.04 |