NPI: 1720290430 · LISBON, ND 58054 · Dental Clinic/Center · NPI assigned 05/04/2007
| Authorized Official | ZECK, FRANCIS (PRESIDENT) |
| NPI Enumeration Date | 05/04/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $281.52 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 13 | 12 | $281.52 |