NPI: 1164430393 · REXBURG, ID 83440 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 08/03/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $1K |
| 2024 | 67 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 79 | 73 | $6K |