NPI: 1003660507 · DECORAH, IA 52101 · Dental Clinic/Center · NPI assigned 04/12/2024
| Authorized Official | BLODGETT, PETER (DENTIST - OWNER) |
| NPI Enumeration Date | 04/12/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $277.24 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $277.24 |