NPI: 1366849549 · GRAND FORKS, ND 58201 · Dentist · NPI assigned 12/03/2014
| Authorized Official | KORSMO, GRANT (DENTIST/OWNER) |
| NPI Enumeration Date | 12/03/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $351.38 |
| 2023 | 13 | $414.09 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 25 | 25 | $765.47 |