NPI: 1871669150 · MANKATO, MN 56001 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 11/28/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 198 | $20K |
| 2019 | 139 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 337 | 317 | $33K |