NPI: 1669886982 · IDAHO FALLS, ID 83402 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 06/13/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 203 | $15K |
| 2024 | 212 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 415 | 394 | $31K |