NPI: 1063409290 · AVON PARK, FL 33825 · General Practice Dentistry · NPI assigned 10/03/2005
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 | 10/03/2005 |
Other providers sharing the same authorized official: CLAUSSEN, ANN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 848 | $8K |
| 2019 | 1,040 | $9K |
| 2020 | 5,098 | $44K |
| 2021 | 1,692 | $9K |
| 2022 | 13,097 | $154K |
| 2023 | 13,365 | $142K |
| 2024 | 18,176 | $104K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 1,874 | 1,834 | $63K |
| D0230 | Intraoral - periapical each additional radiographic image | 3,505 | 3,054 | $53K |
| D1120 | Prophylaxis - child | 1,784 | 1,720 | $52K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,233 | 2,635 | $46K |
| D0330 | Panoramic radiographic image | 1,606 | 1,572 | $40K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,103 | 2,047 | $33K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 726 | 536 | $32K |
| D1351 | Sealant - per tooth | 2,817 | 820 | $30K |
| D1206 | Topical application of fluoride varnish | 4,548 | 4,388 | $27K |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2,255 | 1,768 | $17K |
| D0274 | Bitewings - four radiographic images | 2,371 | 2,325 | $12K |
| D0140 | Limited oral evaluation - problem focused | 1,134 | 1,100 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 217 | 176 | $8K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 683 | 553 | $7K |
| D0120 | Periodic oral evaluation - established patient | 1,031 | 1,010 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 4,484 | 4,365 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 129 | 126 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 58 | 56 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 56 | 56 | $4K |
| D1330 | 5,448 | 5,264 | $3K | |
| D0191 | 1,076 | 1,045 | $3K | |
| D0145 | Oral evaluation for a patient under three years of age | 103 | 102 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 28 | 27 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 185 | 180 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15 | 12 | $953.27 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 27 | 26 | $825.00 |
| D0210 | Intraoral - complete series of radiographic images | 59 | 58 | $798.66 |
| D0603 | 2,962 | 2,884 | $448.14 | |
| 36415 | Collection of venous blood by venipuncture | 36 | 33 | $264.00 |
| D0602 | 682 | 663 | $173.34 | |
| D0272 | Bitewings - two radiographic images | 29 | 29 | $104.00 |
| 90651 | 12 | 12 | $88.76 | |
| D1310 | 4,329 | 4,199 | $68.43 | |
| 3078F | 495 | 206 | $0.00 | |
| 1160F | 148 | 83 | $0.00 | |
| 1159F | 150 | 85 | $0.00 | |
| 90461 | 19 | 19 | $0.00 | |
| G0468 | Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv | 17 | 14 | $0.00 |
| 4004F | 25 | 12 | $0.00 | |
| 90734 | 14 | 14 | $0.00 | |
| 3077F | 13 | 12 | $0.00 | |
| 3008F | 760 | 352 | $0.00 | |
| D0601 | 378 | 369 | $0.00 | |
| D1353 | 698 | 241 | $0.00 | |
| 1125F | 13 | 12 | $0.00 | |
| 1220F | 202 | 144 | $0.00 | |
| 3079F | 69 | 58 | $0.00 | |
| 3074F | 462 | 234 | $0.00 | |
| 4010F | 99 | 59 | $0.00 | |
| 92551 | 61 | 58 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 19 | 15 | $0.00 |
| 3044F | 27 | 22 | $0.00 | |
| 3352F | 20 | 12 | $0.00 | |
| 1126F | 22 | 17 | $0.00 |