NPI: 1932165529 · FARMINGTON, MN 55024 · Dentist · NPI assigned 04/24/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 42 | $10K |
| 2024 | 138 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 180 | 180 | $39K |