NPI: 1457403271 · COEUR D ALENE, ID 83814 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 01/18/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $836.00 |
| 2022 | 13 | $833.50 |
| 2023 | 52 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 77 | 77 | $5K |