NPI: 1265143671 · MINNETONKA, MN 55345 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 12/06/2022
| Authorized Official | MCMAHON, MOLLY (ORTHODONTIST/OWNER) |
| NPI Enumeration Date | 12/06/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 94 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 94 | 94 | $20K |