NPI: 1508374497 · BOWMAN, ND 58623 · Dental Clinic/Center · NPI assigned 01/14/2018
| Authorized Official | JACQUOT, CAITLIN (PRESIDENT/DENTIST) |
| NPI Enumeration Date | 01/14/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 12 | 12 | $0.00 |