MATAGORDA EPISCOPAL HEALTH OUTREACH PROGRAM
NPI: 1073703575
· BAY CITY, TX 77414
· Federally Qualified Health Center (FQHC)
· NPI assigned 07/31/2007
$567K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: HARRISON, CELESTE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
177 |
$17K |
| 2021 |
1,305 |
$140K |
| 2022 |
1,473 |
$160K |
| 2023 |
1,109 |
$136K |
| 2024 |
1,100 |
$114K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
2,590 |
2,190 |
$567K |
| D1110 |
Prophylaxis - adult |
14 |
13 |
$113.00 |
| D1120 |
Prophylaxis - child |
518 |
459 |
$110.25 |
| D0120 |
Periodic oral evaluation - established patient |
556 |
451 |
$87.70 |
| D0145 |
Oral evaluation for a patient under three years of age |
423 |
418 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
13 |
12 |
$0.00 |
| D0602 |
|
304 |
290 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
461 |
448 |
$0.00 |
| D0601 |
|
222 |
214 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
20 |
14 |
$0.00 |
| D0603 |
|
43 |
40 |
$0.00 |