NPI: 1386493260 · RIGBY, ID 83442 · General Practice Dentistry · NPI assigned 05/14/2024
| Authorized Official | DANSIE, BEN (PRESIDENT) |
| NPI Enumeration Date | 05/14/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $0.00 |