NPI: 1720093693 · CHARLOTTESVILLE, VA 22902 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 07/29/2006
| Authorized Official | BURRUSS, JUDY (OFFICE MANAGER) |
| NPI Enumeration Date | 07/29/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 13 | 13 | $5K |