NPI: 1922196955 · SIOUX FALLS, SD 57108 · Dentist · NPI assigned 10/11/2006
| Authorized Official | NICHOLS, JUSTIN (DENTIST/OWNER) |
| NPI Enumeration Date | 10/11/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 24 | $974.99 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 24 | 24 | $974.99 |