NPI: 1982069290 · CHATTAROY, WA 99003 · General Practice Dentistry · NPI assigned 12/31/2015
| Authorized Official | RENCHER, LANDON (DENTIST) |
| NPI Enumeration Date | 12/31/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $158.07 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 12 | 12 | $158.07 |