NPI: 1528645959 · RAPID CITY, SD 57701 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 03/24/2021
| Authorized Official | JAHN, ISAAC (DIRECTOR OF ADMINISTRATION) |
| NPI Enumeration Date | 03/24/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 12 | $14K |
| 2024 | 38 | $44K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 50 | 50 | $58K |