NPI: 1679791826 · BENSON, MN 56215 · General Practice Dentistry · NPI assigned 04/23/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $0.00 |
| 2019 | 12 | $248.04 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 24 | 24 | $248.04 |