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BRUCE MARTINSON FAMILY & COSMETIC DENTISTRY
BRUCE MARTINSON FAMILY & COSMETIC DENTISTRY
NPI: 1194101055
· WAYZATA, MN 55391
· General Practice Dentistry
· NPI assigned 08/03/2015
$375.88
Total Medicaid Paid
Provider Details
| Authorized Official | MARTINSON, BRUCE (DENTIST/ OWNER) |
| NPI Enumeration Date | 08/03/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
12 |
$375.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$375.88 |