NPI: 1104916527 · ST PAUL, MN 55108 · General Practice Dentistry · NPI assigned 10/14/2006
| Authorized Official | AUSTIN, LOUIS (PRESIDENT DENTIST) |
| NPI Enumeration Date | 10/14/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $417.96 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $417.96 |