NPI: 1992385942 · FERGUS FALLS, MN 56537 · Dental Clinic/Center · NPI assigned 04/13/2021
| Authorized Official | BUCHHOLZ, REBEKKA (OFFICE MANAGER) |
| NPI Enumeration Date | 04/13/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 14 | $282.01 |
| 2021 | 25 | $475.82 |
| 2022 | 13 | $363.46 |
| 2023 | 24 | $662.94 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 76 | 76 | $2K |