Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › PRINEVILLE › MOSAIC COMMUNITY HEALTH

MOSAIC COMMUNITY HEALTH

NPI: 1083633184 · PRINEVILLE, OR 97754 · Dental Clinic/Center · NPI assigned 07/19/2006

$5.44M
Total Medicaid Paid
376,532
Total Claims
337,871
Beneficiaries
125
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTRANG, STEVEN (CFO)
NPI Enumeration Date07/19/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 59,946 $616K
2019 61,707 $797K
2020 49,431 $748K
2021 48,425 $808K
2022 51,994 $741K
2023 51,652 $769K
2024 53,377 $963K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90832 Psychotherapy, 30 minutes with patient 15,983 12,345 $878K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 114,215 102,757 $575K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 63,234 56,274 $472K
90791 Psychiatric diagnostic evaluation 4,509 4,241 $403K
D0150 Comprehensive oral evaluation - new or established patient 5,679 5,459 $241K
D0140 Limited oral evaluation - problem focused 5,775 5,488 $211K
D1110 Prophylaxis - adult 5,015 4,887 $210K
90837 Psychotherapy, 53 minutes with patient 1,768 1,418 $191K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 2,736 2,063 $151K
97802 2,164 2,070 $150K
90686 8,439 8,081 $141K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 22,481 21,485 $122K
D0330 Panoramic radiographic image 3,954 3,808 $118K
D0210 Intraoral - complete series of radiographic images 3,216 3,076 $118K
T1016 Case management, each 15 minutes 5,230 4,359 $108K
97803 2,465 2,280 $89K
D0120 Periodic oral evaluation - established patient 3,040 2,967 $82K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 809 788 $80K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 734 717 $68K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,559 1,087 $68K
90792 Psychiatric diagnostic evaluation with medical services 558 525 $65K
D0220 Intraoral - periapical first radiographic image 6,159 5,945 $61K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 641 610 $61K
D1206 Topical application of fluoride varnish 8,247 7,873 $60K
D1120 Prophylaxis - child 1,579 1,538 $54K
0002A 1,178 1,174 $49K
0001A 1,209 1,201 $47K
D0274 Bitewings - four radiographic images 2,220 2,162 $47K
D0603 2,978 2,895 $41K
D7140 Extraction, erupted tooth or exposed root 490 227 $39K
99215 Prolong outpt/office vis 1,805 1,666 $39K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 429 402 $35K
90834 Psychotherapy, 45 minutes with patient 390 343 $27K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,276 2,179 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,308 8,637 $26K
D0191 1,646 1,458 $24K
91322 249 243 $22K
96156 377 268 $17K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,789 1,677 $14K
D1354 1,068 195 $11K
80305 1,777 1,333 $11K
H0004 Behavioral health counseling and therapy, per 15 minutes 591 468 $10K
0011A 180 180 $8K
96158 171 99 $8K
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 148 147 $7K
0012A 175 175 $7K
99188 1,178 1,114 $7K
D4341 111 82 $6K
D0602 530 524 $6K
0071A 170 165 $6K
D4910 134 123 $6K
D0601 476 467 $6K
D0230 Intraoral - periapical each additional radiographic image 916 612 $6K
96152 304 219 $5K
90656 397 394 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 151 142 $5K
36415 Collection of venous blood by venipuncture 19,513 18,081 $5K
D4355 89 87 $4K
0072A 119 118 $4K
90670 219 205 $4K
D4342 84 50 $4K
90480 269 263 $4K
D2940 84 43 $4K
D9990 180 155 $4K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 47 43 $3K
83036 Hemoglobin; glycosylated (A1C) 747 712 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 45 45 $3K
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 12,354 9,490 $3K
99238 Hospital discharge day management, 30 minutes or less 44 41 $3K
0124A 107 104 $3K
0004A 75 74 $3K
90651 181 177 $3K
90688 118 118 $2K
D0270 301 295 $2K
90472 Immunization administration, each additional vaccine (list separately) 4,758 4,513 $2K
0064A 57 56 $2K
90723 99 95 $2K
96153 151 71 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 18 18 $2K
D1351 Sealant - per tooth 86 25 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15 15 $2K
90633 113 106 $2K
0031A 28 28 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 23 23 $1K
96151 133 88 $1K
99201 35 34 $1K
90661 106 106 $1K
96167 25 24 $1K
90715 42 42 $922.69
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 131 121 $884.72
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit 372 279 $752.28
90734 54 53 $555.58
96150 54 50 $552.57
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 66 60 $550.37
90647 29 27 $547.93
0134A 13 12 $371.20
D0272 Bitewings - two radiographic images 25 24 $349.87
82274 28 28 $283.58
99443 30 29 $243.17
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 3,365 2,258 $237.76
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $219.74
81025 42 42 $201.81
D9995 220 187 $177.50
81002 96 93 $163.58
90653 16 16 $132.14
D1208 Topical application of fluoride, excluding varnish 53 40 $130.00
90677 24 24 $101.00
83655 12 12 $94.96
80061 Lipid panel 14 14 $94.82
99177 12 12 $54.24
81003 39 36 $37.02
T1013 Sign language or oral interpretive services, per 15 minutes 192 173 $15.38
36416 275 239 $10.20
G0008 Administration of influenza virus vaccine 43 43 $3.75
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,426 1,402 $0.00
D1310 1,364 1,217 $0.00
91306 56 55 $0.00
D1330 1,669 1,436 $0.00
91307 366 352 $0.00
99000 34 34 $0.00
96160 684 666 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 115 99 $0.00
T1015 Clinic visit/encounter, all-inclusive 191 139 $0.00
91312 122 118 $0.00
91313 13 12 $0.00