NPI: 1154862449 · PILOT KNOB, MO 63663 · Federally Qualified Health Center (FQHC) · NPI assigned 03/20/2017
Authorized official WHITE, KAREN controls 20+ related entities in our dataset. Read more
| Authorized Official | WHITE, KAREN (CEO) |
| Parent Organization | BIG SPRINGS MEDICAL ASSOCIATION |
| NPI Enumeration Date | 03/20/2017 |
Other providers sharing the same authorized official: WHITE, KAREN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 77 | $9K |
| 2019 | 108 | $7K |
| 2020 | 120 | $5K |
| 2021 | 226 | $17K |
| 2022 | 374 | $31K |
| 2023 | 25 | $818.64 |
| 2024 | 42 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 124 | 51 | $23K |
| D0330 | Panoramic radiographic image | 129 | 121 | $13K |
| D0274 | Bitewings - four radiographic images | 189 | 182 | $12K |
| D0220 | Intraoral - periapical first radiographic image | 326 | 283 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 100 | 93 | $8K |
| D0140 | Limited oral evaluation - problem focused | 77 | 66 | $5K |
| D1110 | Prophylaxis - adult | 27 | 27 | $3K |