NPI: 1235517962 · SPOTSYLVANIA, VA 22553 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/14/2015
| Authorized Official | MOODY, BRENDA (REGIONAL MANAGER) |
| NPI Enumeration Date | 05/14/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 184 | $13K |
| 2019 | 1,484 | $88K |
| 2020 | 2,604 | $141K |
| 2021 | 4,330 | $373K |
| 2022 | 3,932 | $484K |
| 2023 | 3,220 | $206K |
| 2024 | 1,184 | $0.00 |