NPI: 1396807012 · CHISHOLM, MN 55719 · Dental Clinic/Center · NPI assigned 12/16/2006
| Authorized Official | SWENNES, HAROLD (DENTIST) |
| NPI Enumeration Date | 12/16/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $0.00 |
| 2019 | 13 | $349.53 |
| 2020 | 15 | $343.01 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 42 | 42 | $692.54 |