UNKENHOLZ OMAHA ST DENTAL LLC
NPI: 1821811571
· RAPID CITY, SD 57701
· Dental Clinic/Center
· NPI assigned 11/01/2024
$649.80
Total Medicaid Paid
Provider Details
| Authorized Official | UNKENHOLZ, ERIC (OWNER / PRESIDENT) |
| NPI Enumeration Date | 11/01/2024 |
Related Entities
Other providers sharing the same authorized official: UNKENHOLZ, ERIC
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
15 |
$649.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$649.80 |