ABTIN ETEZADI-TABRIZI, DMD
Oral and Maxillofacial Surgery (Dentist) · SIOUX FALLS, SD
Individual Active Opted out of Medicare NPI 1366601866
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 13 | 17 | $5,835 | $2,103 | $1,675 |
| 2022 | 11 | 15 | $3,176 | $1,418 | $1,132 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | ✓ | D1506 | SD |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Opted out of Medicare (Oral Surgery), effective 2026-03-05 through 2028-03-05.
Other Oral and Maxillofacial Surgery (Dentist) providers in South Dakota
- NPI 1750360004
- NPI 1821118480
- NPI 1487639316
- NPI 1821069253
- NPI 1144421645
- NPI 1649241407
- NPI 1720320252
- NPI 1861692949
See all Oral and Maxillofacial Surgery (Dentist) providers in South Dakota →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.