NPI: 1902067655 · HERNDON, VA 20170 · Primary Care Clinic/Center · NPI assigned 06/24/2008
| Authorized Official | TONTHAT, HAN (OFFICER) |
| NPI Enumeration Date | 06/24/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 13 | $152.82 |
| 2021 | 76 | $2K |
| 2022 | 77 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 137 | 94 | $5K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 29 | 24 | $568.84 |