NPI: 1497149132 · MANASSAS, VA 20111 · Student in an Organized Health Care Education/Training Program · NPI assigned 03/19/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 51 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 51 | 51 | $2K |