NPI: 1366634016 · CASSELTON, ND 58012 · General Practice Dentistry · NPI assigned 08/16/2007
| Authorized Official | HAGEN, JESSE (OWNER) |
| NPI Enumeration Date | 08/16/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 36 | $516.40 |
| 2019 | 14 | $316.08 |
| 2020 | 12 | $263.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 62 | 51 | $1K |