NPI: 1982785580 · RAPID CITY, SD 57702 · General Practice Dentistry · NPI assigned 10/18/2006
| Authorized Official | KIEFFER, JOSEPH (OWNER/DENTIST) |
| NPI Enumeration Date | 10/18/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 309 | $9K |
| 2019 | 27 | $684.36 |
| 2021 | 107 | $3K |
| 2022 | 235 | $8K |
| 2023 | 347 | $11K |
| 2024 | 696 | $29K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 762 | 753 | $24K |
| D1110 | Prophylaxis - adult | 242 | 237 | $14K |
| D1206 | Topical application of fluoride varnish | 470 | 463 | $12K |
| D1120 | Prophylaxis - child | 137 | 137 | $6K |
| D0274 | Bitewings - four radiographic images | 59 | 59 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16 | 16 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 21 | 19 | $458.40 |
| D0230 | Intraoral - periapical each additional radiographic image | 14 | 13 | $255.58 |