NPI: 1164680484 · SIOUX FALLS, SD 57110 · General Practice Dentistry · NPI assigned 05/23/2008
| Authorized Official | KUSEK, EDWARD (DENTAL PRACTICE OWNER) |
| NPI Enumeration Date | 05/23/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 13 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7962 | 13 | 13 | $2K |