NPI: 1699525915 · SAINT CLOUD, MN 56301 · Dental Clinic/Center · NPI assigned 03/27/2024
| Authorized Official | CURTIS, BARBRA (BUSINESS ADMINISTRATOR) |
| NPI Enumeration Date | 03/27/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 13 | $318.98 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 13 | 13 | $318.98 |