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SOUTH UNIVERSITY DENTAL ASSOCIATES, PC
SOUTH UNIVERSITY DENTAL ASSOCIATES, PC
NPI: 1043514367
· FARGO, ND 58103
· Dental Clinic/Center
· NPI assigned 12/29/2010
Provider Details
| Authorized Official | FELLMAN, THOMAS (PRESIDENT) |
| NPI Enumeration Date | 12/29/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
68 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
25 |
25 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
43 |
40 |
$1K |