NPI: 1043386345 · MANKATO, MN 56001 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 11/28/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 40 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 40 | 36 | $4K |