NPI: 1336287127 · FORT DODGE, IA 50501 · Periodontist · NPI assigned 02/02/2007
| Authorized Official | HOOVER, JEAN (OFFICE MANAGER) |
| NPI Enumeration Date | 02/02/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $537.33 |
| 2021 | 27 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D4910 | 39 | 39 | $2K |