NPI: 1598300675 · CHAMPLIN, MN 55316 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 11/12/2019
| Authorized Official | KELLY, CHAD (PRESIDENT) |
| NPI Enumeration Date | 11/12/2019 |
Other providers sharing the same authorized official: KELLY, CHAD
| Provider | City | State | Total Paid |
|---|---|---|---|
| FREEDOM RECOVERY LLC | COLUMBUS | OH | $8.54M |
| DENTALIGN P.A. | MAPLE GROVE | MN | $667K |
| DENTALIGN, P.A | EDINA | MN | $281K |
| DENTALIGN P.A. | APPLE VALLEY | MN | $264K |
| DENTALIGN, PA | BURNSVILLE | MN | $222K |
| TC ORTHODONTICS RED WING | RED WING | MN | $196K |
| KELLY CHIROPRACTIC CENTER, PA | MINOT | ND | $51K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 48 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 48 | 48 | $7K |