NPI: 1568757359 · HENDRICKS, MN 56136 · Dentist · NPI assigned 06/09/2011
| Authorized Official | DIGRE, ROLLAND (DENTIST) |
| NPI Enumeration Date | 06/09/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 15 | $428.98 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 15 | 15 | $428.98 |