NPI: 1194277715 · HAYMARKET, VA 20169 · General Practice Dentistry · NPI assigned 10/31/2016
| Authorized Official | LOWE, TONTRA (MANAGER/DENTIST) |
| NPI Enumeration Date | 10/31/2016 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 14 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 14 | 14 | $0.00 |