NPI: 1154562783 · BOISE, ID 83713 · Dental Clinic/Center · NPI assigned 03/11/2009
| Authorized Official | LINEBERRY, LAURA (ORTHODONTIST) |
| NPI Enumeration Date | 03/11/2009 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 54 | $4K |
| 2019 | 144 | $11K |
| 2020 | 66 | $5K |
| 2021 | 13 | $1K |
| 2022 | 12 | $375.00 |