NPI: 1942087127 · EAST LANSING, MI 48823 · Dental Clinic/Center · NPI assigned 09/12/2023
| Authorized Official | VALASSIS, MATTHEW (OWNER) |
| NPI Enumeration Date | 09/12/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 24 | $690.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 24 | 24 | $690.00 |