NPI: 1174261721 · FORT DODGE, IA 50501 · Dental Clinic/Center · NPI assigned 05/24/2022
| Authorized Official | BECKER, MARIA (OWNER/DOCTOR) |
| NPI Enumeration Date | 05/24/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 40 | $390.66 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 40 | 14 | $390.66 |