NPI: 1972996114 · ASHBURN, VA 20147 · General Practice Dentistry · NPI assigned 03/12/2015
| Authorized Official | THAMMINENI, KISHORE BABU (OWNER) |
| NPI Enumeration Date | 03/12/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 16 | $500.96 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 16 | 16 | $500.96 |