NPI: 1124158043 · DUBLIN, NC 28332 · Federally Qualified Health Center (FQHC) · NPI assigned 03/07/2007
Authorized official ELLISON, WILLIAM controls 17+ related entities in our dataset. Read more
| Authorized Official | ELLISON, WILLIAM (REVENUE CYCLE MANAGER) |
| NPI Enumeration Date | 03/07/2007 |
Other providers sharing the same authorized official: ELLISON, WILLIAM
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 23 | $184.34 |
| 2019 | 58 | $914.31 |
| 2022 | 131 | $2K |
| 2023 | 992 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 159 | 84 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 256 | 128 | $2K |
| D1110 | Prophylaxis - adult | 123 | 52 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 221 | 66 | $1K |
| D0120 | Periodic oral evaluation - established patient | 43 | 28 | $740.88 |
| D1206 | Topical application of fluoride varnish | 36 | 18 | $302.04 |
| D1330 | 308 | 129 | $0.00 | |
| D1310 | 58 | 20 | $0.00 |