NPI: 1336167006 · CHARLOTTESVILLE, VA 22901 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 07/18/2006
| Authorized Official | EISENHARDT, PETER (PARTNER) |
| NPI Enumeration Date | 07/18/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $289.64 |
| 2023 | 13 | $387.36 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 25 | 25 | $677.00 |