NPI: 1790905495 · REXBURG, ID 83440 · General Practice Dentistry · NPI assigned 04/26/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13 | 12 | $1K |