NPI: 1245296078 · TIOGA, ND 58852 · Clinic/Center · NPI assigned 04/21/2006
| Authorized Official | PEDERSON, RANDALL (PRESIDENT/CEO) |
| NPI Enumeration Date | 04/21/2006 |
Other providers sharing the same authorized official: PEDERSON, RANDALL
| Provider | City | State | Total Paid |
|---|---|---|---|
| TIOGA MEDICAL CENTER | TIOGA | ND | $45K |
| TIOGA MEDICAL CENTER | TIOGA | ND | $28K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 96 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00170 | Anesthesia for intraoral procedures, including biopsy | 96 | 60 | $2K |