OLSON DENTAL LLC
NPI: 1790014777
· PRIOR LAKE, MN 55372
· General Practice Dentistry
· NPI assigned 12/21/2009
$263.34
Total Medicaid Paid
Provider Details
| Authorized Official | OLSON, CHAD (DDS) |
| NPI Enumeration Date | 12/21/2009 |
Related Entities
Other providers sharing the same authorized official: OLSON, CHAD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12 |
$263.34 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$263.34 |