NPI: 1093714396 · ASHLAND, WI 54806 · Dentist · NPI assigned 07/19/2005
| Authorized Official | STROMBERG, BARRY (VICE-PRESIDENT) |
| NPI Enumeration Date | 07/19/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 15 | $201.20 |
| 2021 | 12 | $131.94 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 27 | 27 | $333.14 |