NPI: 1982095220 · FAIRFIELD, CA 94533 · General Practice Dentistry · NPI assigned 02/09/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13 | $73.50 |
| 2024 | 12 | $73.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 25 | 24 | $147.00 |