NPI: 1588879399 · BOISE, ID 83713 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 05/14/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $916.85 |
| 2019 | 26 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 38 | 38 | $3K |