NPI: 1346389178 · RAPID CITY, SD 57701 · Dermatology Physician · NPI assigned 02/06/2007
| Authorized Official | BODDICKER, SHEILA (OFFICE MANAGER) |
| NPI Enumeration Date | 02/06/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 20 | $250.84 |
| 2019 | 20 | $456.69 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40 | 30 | $707.53 |