SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER
NPI: 1083298640
· SAINT ROBERT, MO 65584
· Federally Qualified Health Center (FQHC)
· NPI assigned 05/10/2021
Provider Details
| Authorized Official | SPARKS, ELIZABETH (HR/CREDENTIALING SPECIALIST) |
| Parent Organization | SOUTH CENTRAL MISSOURI COMMUNITY HEALTH CENTER |
| NPI Enumeration Date | 05/10/2021 |
Related Entities
Other providers sharing the same authorized official: SPARKS, ELIZABETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
134 |
$7K |
| 2023 |
41 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
71 |
68 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
26 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
62 |
58 |
$2K |
| D0230 |
Intraoral - periapical each additional radiographic image |
15 |
12 |
$747.04 |