NPI: 1033422613 · WAHPETON, ND 58076 · Public Health Dentist · NPI assigned 07/23/2010
| Authorized Official | BODENSTEINER, KATHY (CLINIC COORDINATOR) |
| NPI Enumeration Date | 07/23/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 16 | $385.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 16 | 14 | $385.00 |