NPI: 1326474206 · BURLEY, ID 83318 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 09/23/2013
| Authorized Official | WARD, JUSTIN (OWNER) |
| NPI Enumeration Date | 09/23/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 40 | $3K |
| 2022 | 103 | $7K |
| 2023 | 118 | $9K |
| 2024 | 84 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8660 | 345 | 345 | $25K |