DANIELSON, KIM
NPI: 1497834626
· CLOQUET, MN 55720
· General Practice Dentistry
· NPI assigned 11/06/2006
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$0.00 |
| D1110 |
Prophylaxis - adult |
15 |
15 |
$0.00 |