NPI: 1164719647 · MANKATO, MN 56001 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 07/05/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 18 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 18 | 13 | $1K |