BLACK HILLS MODERN ENDODONTICS
NPI: 1508403957
· RAPID CITY, SD 57701
· Dental Clinic/Center
· NPI assigned 12/04/2019
Provider Details
| Authorized Official | WILBUR, ERIC (OWNER) |
| NPI Enumeration Date | 12/04/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
29 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
15 |
15 |
$951.30 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
14 |
$315.64 |