OZARK TRI-COUNTY HEALTH CARE CONSORTIUM
NPI: 1043250905
· ANDERSON, MO 64831
· Federally Qualified Health Center (FQHC)
· NPI assigned 06/08/2006
Provider Details
| Authorized Official | MCBRIDE, DONALD (CEO) |
| Parent Organization | OZARK TRI-COUNTY HEALTH CARE CONSORTIUM |
| NPI Enumeration Date | 06/08/2006 |
Related Entities
Other providers sharing the same authorized official: MCBRIDE, DONALD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
94 |
$4K |
| 2019 |
13 |
$509.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7140 |
Extraction, erupted tooth or exposed root |
25 |
14 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
56 |
53 |
$1K |
| D0274 |
Bitewings - four radiographic images |
13 |
12 |
$568.36 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$509.20 |