MOUNTAIN FAMILY HEALTH CENTERS
NPI: 1053819045
· GLENWOOD SPRINGS, CO 81601
· Federally Qualified Health Center (FQHC)
· NPI assigned 01/25/2018
$627K
Total Medicaid Paid
Provider Details
| Authorized Official | FRANTA, ANNETTE (CHIEF FINANCIAL OFFICER) |
| Parent Organization | MOUNTAIN FAMILY HEALTH CENTERS |
| NPI Enumeration Date | 01/25/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
278 |
$70K |
| 2019 |
529 |
$168K |
| 2020 |
428 |
$147K |
| 2021 |
392 |
$123K |
| 2022 |
257 |
$100K |
| 2023 |
51 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
1,759 |
1,354 |
$624K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
120 |
98 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
42 |
40 |
$465.00 |
| D0220 |
Intraoral - periapical first radiographic image |
14 |
13 |
$0.00 |