NPI: 1508926841 · WAYZATA, MN 55391 · Endodontist · NPI assigned 12/09/2006
| Authorized Official | OTOOLE, GREGORY (PRESIDENT) |
| NPI Enumeration Date | 12/09/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 25 | $3K |
| 2024 | 17 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 42 | 41 | $5K |