NPI: 1952683724 · BELLEVUE, NE 68005 · General Practice Dentistry · NPI assigned 09/16/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20 | $373.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 20 | 20 | $373.60 |