NPI: 1134586043 · WINTER HAVEN, FL 33880 · General Practice Dentistry · NPI assigned 01/22/2016
Authorized official CLAUSSEN, ANN controls 20+ related entities in our dataset. Read more
| Authorized Official | CLAUSSEN, ANN (CEO) |
| Parent Organization | CENTRAL FLORIDA HEALTH CARE INC |
| NPI Enumeration Date | 01/22/2016 |
Other providers sharing the same authorized official: CLAUSSEN, ANN
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 106 | $994.40 |
| 2020 | 1,519 | $16K |
| 2021 | 598 | $5K |
| 2022 | 5,845 | $74K |
| 2023 | 6,730 | $87K |
| 2024 | 6,810 | $166K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 1,205 | 835 | $58K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,032 | 976 | $37K |
| D1120 | Prophylaxis - child | 1,266 | 1,228 | $35K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 401 | 382 | $29K |
| D0150 | Comprehensive oral evaluation - new or established patient | 936 | 915 | $28K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 359 | 354 | $28K |
| D0330 | Panoramic radiographic image | 438 | 431 | $27K |
| D1110 | Prophylaxis - adult | 539 | 522 | $20K |
| D1351 | Sealant - per tooth | 1,227 | 381 | $15K |
| D0120 | Periodic oral evaluation - established patient | 804 | 780 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 184 | 182 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 319 | 245 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 145 | 108 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,676 | 1,626 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 46 | 46 | $4K |
| D0274 | Bitewings - four radiographic images | 430 | 422 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 352 | 327 | $2K |
| D1206 | Topical application of fluoride varnish | 2,047 | 1,977 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1,934 | 1,866 | $969.26 |
| D1330 | 1,648 | 1,593 | $742.42 | |
| 59430 | 15 | 14 | $649.56 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 29 | 26 | $629.15 |
| D0140 | Limited oral evaluation - problem focused | 43 | 39 | $383.58 |
| D0603 | 792 | 775 | $278.15 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 12 | 12 | $229.61 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 12 | 12 | $171.76 |
| 90686 | 84 | 79 | $164.20 | |
| D0272 | Bitewings - two radiographic images | 689 | 667 | $129.03 |
| 90461 | 14 | 14 | $80.00 | |
| D1310 | 1,985 | 1,916 | $68.13 | |
| 85018 | 29 | 25 | $1.47 | |
| D0191 | 15 | 15 | $0.00 | |
| D0602 | 901 | 872 | $0.00 |