ROUND LAKE DENTAL P.A.
NPI: 1376676445
· ANDOVER, MN 55304
· Pediatric Dentist
· NPI assigned 03/14/2007
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | SWENSON, THOMAS (PRESIDENT) |
| NPI Enumeration Date | 03/14/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
30 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0220 |
Intraoral - periapical first radiographic image |
16 |
16 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
14 |
$0.00 |