NPI: 1104210608 · SACRAMENTO, CA 95820 · Federally Qualified Health Center (FQHC) · NPI assigned 03/23/2015
Authorized official PORTEUS, ALASDAIR controls 20+ related entities in our dataset. Read more
| Authorized Official | PORTEUS, ALASDAIR (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 03/23/2015 |
Other providers sharing the same authorized official: PORTEUS, ALASDAIR
| Provider | City | State | Total Paid |
|---|---|---|---|
| WELLSPACE HEALTH | SACRAMENTO | CA | $76.86M |
| WELLSPACE HEALTH | SACRAMENTO | CA | $64.16M |
| WELLSPACE HEALTH | GALT | CA | $42.54M |
| WELLSPACE HEALTH | SACRAMENTO | CA | $28.23M |
| WELLSPACE HEALTH | SACRAMENTO | CA | $18.86M |
| WELLSPACE HEALTH | SACRAMENTO | CA | $14.61M |
| WELLSPACE HEALTH | SACRAMENTO | CA | $13.57M |
| WELLSPACE HEALTH | NORTH HIGHLANDS | CA | $7.20M |
| WELLSPACE HEALTH | SACRAMENTO | CA | $5.34M |
| WELLSPACE HEALTH | CITRUS HEIGHTS | CA | $5.07M |
| WELLSPACE HEALTH | SACRAMENTO | CA | $3.67M |
| WELLSPACE HEALTH | ROSEVILLE | CA | $3.03M |
| WELLSPACE HEALTH | MARTELL | CA | $2.95M |
| WELLSPACE HEALTH | SACRAMENTO | CA | $1.02M |
| WELLSPACE HEALTH | CITRUS HEIGHTS | CA | $647K |
| WELLSPACE HEALTH | SACRAMENTO | CA | $318K |
| WELLSPACE HEALTH | SACRAMENTO | CA | $20K |
| WELLSPACE HEALTH | SACRAMENTO | CA | $10K |
| WELLSPACE HEALTH | SACRAMENTO | CA | $3K |
| WELLSPACE HEALTH | SACRAMENTO | CA | $2K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 1,286 | $0.00 |
| 2020 | 1,145 | $0.00 |
| 2021 | 495 | $0.00 |
| 2022 | 3,273 | $0.00 |
| 2023 | 4,997 | $8K |
| 2024 | 5,152 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 1,566 | 1,556 | $13K |
| D1351 | Sealant - per tooth | 612 | 293 | $6K |
| D1310 | 1,907 | 1,827 | $5K | |
| D1208 | Topical application of fluoride, excluding varnish | 1,546 | 1,532 | $4K |
| D1352 | 243 | 195 | $877.09 | |
| D0603 | 493 | 477 | $204.01 | |
| D0274 | Bitewings - four radiographic images | 902 | 889 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 1,749 | 1,553 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 88 | 76 | $0.00 |
| D0071 | 26 | 26 | $0.00 | |
| D0120 | Periodic oral evaluation - established patient | 1,620 | 1,610 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 65 | 50 | $0.00 |
| D1330 | 1,397 | 1,375 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 3,666 | 1,478 | $0.00 |
| D9995 | 320 | 316 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 45 | 45 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 27 | 27 | $0.00 |
| D9999 | Unspecified adjunctive procedure, by report | 76 | 66 | $0.00 |