RAINELLE MEDICAL CENTER, INC.
NPI: 1093199036
· RAINELLE, WV 25962
· Federally Qualified Health Center (FQHC)
· NPI assigned 07/18/2015
$107K
Total Medicaid Paid
Provider Details
| Authorized Official | BENNETT, DEBRA (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 07/18/2015 |
Related Entities
Other providers sharing the same authorized official: BENNETT, DEBRA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
240 |
$12K |
| 2019 |
318 |
$15K |
| 2020 |
127 |
$6K |
| 2021 |
26 |
$1K |
| 2024 |
748 |
$72K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9999 |
Unspecified adjunctive procedure, by report |
179 |
153 |
$51K |
| T1015 |
Clinic visit/encounter, all-inclusive |
729 |
614 |
$32K |
| D0999 |
Unspecified diagnostic procedure, by report |
60 |
58 |
$20K |
| D1120 |
Prophylaxis - child |
112 |
106 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
151 |
145 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
123 |
117 |
$729.54 |
| D1110 |
Prophylaxis - adult |
70 |
62 |
$121.00 |
| D0274 |
Bitewings - four radiographic images |
35 |
29 |
$40.70 |