NPI: 1205697877 · BOZEMAN, MT 59718 · Dental Clinic/Center · NPI assigned 01/19/2024
| Authorized Official | HULL, ANNIE (OWNER) |
| NPI Enumeration Date | 01/19/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 204 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 204 | 161 | $7K |