NPI: 1124533260 · MILLER, SD 57362 · General Practice Dentistry · NPI assigned 12/12/2017
| Authorized Official | PATTERSON, FRANK (OWNER) |
| NPI Enumeration Date | 12/12/2017 |
Other providers sharing the same authorized official: PATTERSON, FRANK
| Provider | City | State | Total Paid |
|---|---|---|---|
| PIERRE FAMILY DENTAL PROF LLC | PIERRE | SD | $208K |
| PATTERSON FAMILY DENTAL PROF LLC | WINNER | SD | $151K |
| AINSWORTH DENTAL CLINIC LLC | AINSWORTH | NE | $27K |
| FAMILY SMILES DENTAL PROF LLC | RAPID CITY | SD | $612.60 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 28 | $778.56 |
| 2019 | 27 | $761.88 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 55 | 55 | $2K |