JOHN SANDERSON
NPI: 1457769481
· ELGIN, ND 58533
· Dentist
· NPI assigned 07/22/2014
$381.81
Total Medicaid Paid
Provider Details
| Authorized Official | SANDERSON, JOHN (OWNER) |
| Parent Organization | JOHN SANDERSON |
| NPI Enumeration Date | 07/22/2014 |
Related Entities
Other providers sharing the same authorized official: SANDERSON, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
12 |
$381.81 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$381.81 |