NPI: 1629645924 · WATERTOWN, SD 57201 · General Practice Dentistry · NPI assigned 06/07/2021
| Authorized Official | YSETH, STEVEN (DENTIST/OWNER) |
| NPI Enumeration Date | 06/07/2021 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $382.08 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $382.08 |