NPI: 1699176784 · SIOUX FALLS, SD 57105 · General Practice Dentistry · NPI assigned 09/09/2014
| Authorized Official | PFEIFFER, GINA (DENTIST) |
| NPI Enumeration Date | 09/09/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $302.22 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $302.22 |