NPI: 1790229003 · BOISE, ID 83704 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 12/06/2016
| Authorized Official | TINGEY, TERRELL (OWNER) |
| NPI Enumeration Date | 12/06/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 84 | $7K |
| 2021 | 247 | $19K |
| 2022 | 214 | $17K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 545 | 538 | $43K |