NPI: 1003075607 · AVON PARK, FL 33825 · Federally Qualified Health Center (FQHC) · NPI assigned 06/09/2008
Authorized official CLAUSSEN, ANN controls 20+ related entities in our dataset. Read more
| Authorized Official | CLAUSSEN, ANN (CEO) |
| Parent Organization | CENTRAL FLORIDA HEALTH CARE INC |
| NPI Enumeration Date | 06/09/2008 |
Other providers sharing the same authorized official: CLAUSSEN, ANN
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 177 | $1K |
| 2022 | 13,050 | $136K |
| 2023 | 17,449 | $236K |
| 2024 | 9,823 | $185K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,156 | 2,892 | $96K |
| D1120 | Prophylaxis - child | 1,762 | 1,747 | $66K |
| D1110 | Prophylaxis - adult | 1,509 | 1,501 | $63K |
| D0330 | Panoramic radiographic image | 871 | 860 | $48K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 762 | 552 | $45K |
| D0274 | Bitewings - four radiographic images | 1,505 | 1,501 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,464 | 1,463 | $28K |
| D1351 | Sealant - per tooth | 2,218 | 677 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 548 | 401 | $21K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 229 | 212 | $17K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 218 | 216 | $15K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 217 | 217 | $15K |
| D1206 | Topical application of fluoride varnish | 3,298 | 3,277 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 185 | 185 | $12K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 690 | 678 | $11K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 220 | 215 | $10K |
| D0120 | Periodic oral evaluation - established patient | 971 | 967 | $9K |
| D0140 | Limited oral evaluation - problem focused | 694 | 673 | $9K |
| H1000 | Prenatal care, at-risk assessment | 156 | 101 | $8K |
| 87428 | 128 | 127 | $4K | |
| D9999 | Unspecified adjunctive procedure, by report | 128 | 128 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 82 | 78 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | 31 | 31 | $2K |
| 90461 | 170 | 168 | $1K | |
| D1330 | 3,866 | 3,842 | $916.00 | |
| D0191 | 479 | 473 | $807.30 | |
| D0220 | Intraoral - periapical first radiographic image | 2,647 | 2,626 | $693.54 |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $597.68 |
| D0230 | Intraoral - periapical each additional radiographic image | 4,814 | 1,982 | $405.15 |
| 81025 | 114 | 100 | $399.51 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 32 | 32 | $278.08 |
| 90670 | 15 | 15 | $239.02 | |
| D0603 | 2,333 | 2,323 | $222.00 | |
| 90620 | 12 | 12 | $99.51 | |
| 90681 | 26 | 26 | $75.00 | |
| 81003 | 66 | 38 | $68.16 | |
| D0272 | Bitewings - two radiographic images | 72 | 72 | $57.01 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 13 | 13 | $34.50 |
| D0602 | 112 | 112 | $14.00 | |
| 90686 | 52 | 51 | $10.00 | |
| D0601 | 403 | 403 | $5.00 | |
| 4004F | 12 | 12 | $0.00 | |
| D0277 | 13 | 13 | $0.00 | |
| 90707 | 16 | 15 | $0.00 | |
| 90734 | 12 | 12 | $0.00 | |
| D1310 | 2,608 | 2,590 | $0.00 | |
| 3008F | 566 | 518 | $0.00 | |
| D1353 | 724 | 267 | $0.00 | |
| 4010F | 47 | 46 | $0.00 | |
| 90647 | 57 | 57 | $0.00 | |
| 90716 | 14 | 14 | $0.00 | |
| 90677 | 123 | 122 | $0.00 | |
| 90723 | 27 | 27 | $0.00 |