NPI: 1528771508 · ELY, MN 55731 · Voluntary or Charitable Agency · NPI assigned 01/04/2023
| Authorized Official | TOME, HELEN (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 01/04/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $432.98 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 12 | 12 | $432.98 |