NPI: 1043602386 · FARGO, ND 58103 · Dental Clinic/Center · NPI assigned 02/24/2015
| Authorized Official | GILL, JARED (ORTHODONTIST) |
| NPI Enumeration Date | 02/24/2015 |
Other providers sharing the same authorized official: GILL, JARED
| Provider | City | State | Total Paid |
|---|---|---|---|
| GILL ORTHODONTICS INC | FARGO | ND | $56K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 14 | $47K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8090 | 14 | 12 | $47K |