NPI: 1780691048 · MANKATO, MN 56001 · General Practice Dentistry · NPI assigned 08/01/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16 | $0.00 |
| 2023 | 13 | $333.34 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 29 | 29 | $333.34 |