NPI: 1871875039 · SUITLAND, MD 20746 · General Practice Dentistry · NPI assigned 09/14/2011
| Authorized Official | SEYMOUR, LORETA (DENTIST) |
| NPI Enumeration Date | 09/14/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $276.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 12 | 12 | $276.00 |