NPI: 1083779797 · ELIZABETHTOWN, NC 28337 · Dental Clinic/Center
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,228 | $31K |
| 2019 | 1,107 | $18K |
| 2020 | 722 | $12K |
| 2021 | 13,057 | $78K |
| 2022 | 27,235 | $147K |
| 2023 | 29,789 | $147K |
| 2024 | 33,340 | $163K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99199 | 99,395 | 97,409 | $483K | |
| 90471 | 2,566 | 2,188 | $35K | |
| 99211 | 636 | 599 | $20K | |
| 90472 | 866 | 743 | $17K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | 291 | 274 | $13K |
| 99213 | 92 | 76 | $6K | |
| 0012A | 64 | 61 | $4K | |
| 0011A | 91 | 84 | $3K | |
| T1002 | Rn services, up to 15 minutes | 40 | 37 | $2K |
| 90734 | 492 | 397 | $2K | |
| 0001A | 29 | 29 | $2K | |
| S0280 | Medical home program, comprehensive care coordination and planning, initial plan | 26 | 25 | $2K |
| 90715 | 358 | 293 | $1K | |
| 99393 | 13 | 12 | $1K | |
| 81025 | 193 | 167 | $1K | |
| 90686 | 486 | 414 | $814.56 | |
| 0002A | 12 | 12 | $780.00 | |
| 96110 | 62 | 57 | $560.00 | |
| 90619 | 339 | 303 | $491.26 | |
| 36415 | 170 | 152 | $449.67 | |
| 81003 | 140 | 98 | $337.39 | |
| 90688 | 22 | 20 | $316.73 | |
| 96127 | 55 | 52 | $208.27 | |
| 85018 | 60 | 59 | $133.69 | |
| 87210 | 14 | 12 | $48.50 | |
| 82120 | 14 | 12 | $43.02 | |
| 90656 | 12 | 12 | $20.53 | |
| 92551 | 60 | 55 | $8.27 | |
| 99173 | 98 | 89 | $1.00 | |
| 87389 | 119 | 115 | $0.00 | |
| 87591 | 131 | 125 | $0.00 | |
| 91301 | 158 | 144 | $0.00 | |
| 86592 | 118 | 115 | $0.00 | |
| 88142 | 12 | 12 | $0.00 | |
| 90651 | 15 | 14 | $0.00 | |
| 87491 | 134 | 128 | $0.00 | |
| 91300 | 67 | 52 | $0.00 | |
| 90710 | 15 | 13 | $0.00 | |
| 99001 | 13 | 12 | $0.00 |