NPI: 1104348697 · BALATON, MN 56115 · General Practice Dentistry · NPI assigned 07/17/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 48 | $764.45 |
| 2020 | 17 | $344.08 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 65 | 63 | $1K |