NPI: 1700360740 · FAIRFIELD, OH 45014 · General Practice Dentistry · NPI assigned 09/15/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 29 | $435.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 29 | 29 | $435.00 |