NPI: 1881843878 · WYOMING, MI 49418 · Dentist · NPI assigned 09/15/2008
| Authorized Official | BISHOP, LARISSA (PRESIDENT) |
| NPI Enumeration Date | 09/15/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 14 | $201.17 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 14 | 14 | $201.17 |