NPI: 1841673399 · GRAND RAPIDS, MN 55744 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 07/01/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 99 | $18K |
| 2024 | 223 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 322 | 321 | $50K |