NPI: 1356457543 · NEW YORK MILLS, MN 56567 · General Practice Dentistry · NPI assigned 08/21/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 54 | $18.45 |
| 2019 | 12 | $276.24 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 66 | 66 | $294.69 |