NPI: 1194169649 · IDAHO FALLS, ID 83404 · Student in an Organized Health Care Education/Training Program · NPI assigned 04/25/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 38 | $3K |
| 2021 | 50 | $3K |
| 2022 | 62 | $6K |
| 2023 | 26 | $1K |
| 2024 | 90 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 266 | 264 | $21K |