NPI: 1427146729 · ANNANDALE, VA 22003 · Dentist · NPI assigned 10/11/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $261.95 |
| 2019 | 25 | $503.75 |
| 2020 | 28 | $564.20 |
| 2021 | 36 | $725.40 |
| 2022 | 13 | $340.60 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 115 | 115 | $2K |