NPI: 1104361781 · TEXARKANA, TX 75503 · Dentist · NPI assigned 01/05/2017
Authorized official ROADCAP, CARLA controls 13+ related entities in our dataset. Read more
| Authorized Official | ROADCAP, CARLA (CEO) |
| Parent Organization | EAST TEXAS BORDER HEALTH CLINIC |
| NPI Enumeration Date | 01/05/2017 |
Other providers sharing the same authorized official: ROADCAP, CARLA
| Provider | City | State | Total Paid |
|---|---|---|---|
| EAST TEXAS BORDER HEALTH CLINIC | TEXARKANA | TX | $10.88M |
| EAST TEXAS BORDER HEALTH CLINIC | MARSHALL | TX | $8.24M |
| EAST TEXAS BORDER HEALTH CLINIC | TEXARKANA | AR | $7.40M |
| EAST TEXAS BORDER HEALTH CLINIC | ATLANTA | TX | $7.38M |
| EAST TEXAS BORDER HEALTH CLINIC | TEXARKANA | TX | $5.56M |
| EAST TEXAS BORDER HEALTH CLINIC | MARSHALL | TX | $2.59M |
| EAST TEXAS BORDER HEALTH CLINIC | TEXARKANA | AR | $2.44M |
| EAST TEXAS BORDER HEALTH CLINIC | MARSHALL | TX | $1.57M |
| EAST TEXAS BORDER HEALTH CLINIC | MARSHALL | TX | $840K |
| EAST TEXAS BORDER HEALTH CLINIC | TEXARKANA | TX | $724K |
| EAST TEXAS BORDER HEALTH CLINIC | MARSHALL | TX | $528K |
| EAST TEXAS BORDER HEALTH CLINIC | ATLANTA | TX | $7K |
| EAST TEXAS BORDER HEALTH CLINIC | LONGVIEW | TX | $3K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 36 | $0.00 |
| 2021 | 68 | $159.60 |
| 2022 | 311 | $10K |
| 2023 | 521 | $19K |
| 2024 | 1,199 | $53K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 863 | 770 | $71K |
| D0120 | Periodic oral evaluation - established patient | 394 | 377 | $4K |
| D1110 | Prophylaxis - adult | 88 | 84 | $2K |
| D1120 | Prophylaxis - child | 92 | 88 | $1K |
| D0272 | Bitewings - two radiographic images | 99 | 95 | $938.60 |
| D1208 | Topical application of fluoride, excluding varnish | 185 | 177 | $937.70 |
| D0603 | 275 | 251 | $195.04 | |
| D0145 | Oral evaluation for a patient under three years of age | 14 | 12 | $53.20 |
| D0601 | 74 | 71 | $40.00 | |
| D0274 | Bitewings - four radiographic images | 15 | 15 | $24.70 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 17 | 16 | $0.00 |
| 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 | 19 | 18 | $0.00 |