SOUTHEAST MISSOURI HEALTH NETWORK
NPI: 1013229749
· KENNETT, MO 63857
· Federally Qualified Health Center (FQHC)
· NPI assigned 07/10/2010
Provider Details
| Authorized Official | JONES, CHRIS (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 07/10/2010 |
Related Entities
Other providers sharing the same authorized official: JONES, CHRIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
94 |
$8K |
| 2019 |
739 |
$56K |
| 2020 |
106 |
$4K |
| 2021 |
42 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
270 |
68 |
$32K |
| D0140 |
Limited oral evaluation - problem focused |
302 |
223 |
$15K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
53 |
13 |
$8K |
| D0330 |
Panoramic radiographic image |
79 |
68 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
253 |
200 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$973.60 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$759.00 |