NPI: 1376053207 · GREAT FALLS, MT 59405 · Dental Clinic/Center · NPI assigned 10/05/2017
| Authorized Official | HOBSON, BRADLEY (OWNER/MANAGER) |
| NPI Enumeration Date | 10/05/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 15 | $269.38 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 15 | 14 | $269.38 |