BENTON COUNTY
NPI: 1093997710
· LEBANON, OR 97355
· Federally Qualified Health Center (FQHC)
· NPI assigned 12/04/2007
Provider Details
| Authorized Official | MOLLEL, LACEY (HEALTH CENTER DIRECTOR) |
| Parent Organization | BENTON COUNTY |
| NPI Enumeration Date | 12/04/2007 |
Related Entities
Other providers sharing the same authorized official: MOLLEL, LACEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
244 |
$550.10 |
| 2019 |
96 |
$411.15 |
| 2021 |
14 |
$0.00 |
| 2022 |
67 |
$574.52 |
| 2023 |
36 |
$0.00 |
| 2024 |
69 |
$104.08 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0191 |
|
80 |
79 |
$826.45 |
| D0603 |
|
25 |
24 |
$420.00 |
| D1206 |
Topical application of fluoride varnish |
53 |
52 |
$393.40 |
| 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 |
162 |
120 |
$0.00 |
| D1310 |
|
80 |
77 |
$0.00 |
| D1330 |
|
92 |
91 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$0.00 |
| D0602 |
|
19 |
19 |
$0.00 |