HERMANSON ENDODONTICS LLC
NPI: 1902329949
· PIERRE, SD 57501
· 1223E0200X
$697.99
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
26 |
$697.99 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
|
12 |
12 |
$490.27 |
| D0220 |
|
14 |
14 |
$207.72 |