NPI: 1255706933 · BEULAH, ND 58523 · Dental Clinic/Center · NPI assigned 12/07/2015
| Authorized Official | WEISS, JESSICA (PRESIDENT) |
| NPI Enumeration Date | 12/07/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 17 | $379.80 |
| 2023 | 20 | $385.51 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 37 | 29 | $765.31 |