NPI: 1164114393 · NEILLSVILLE, WI 54456 · Federally Qualified Health Center (FQHC) · NPI assigned 05/25/2023
Authorized official DARRACOTT, KYMBERLI controls 11+ related entities in our dataset. Read more
| Authorized Official | DARRACOTT, KYMBERLI (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 05/25/2023 |
Other providers sharing the same authorized official: DARRACOTT, KYMBERLI
| Provider | City | State | Total Paid |
|---|---|---|---|
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | CHIPPEWA FALLS | WI | $8.74M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | MENOMONIE | WI | $5.83M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | RICE LAKE | WI | $3.75M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | LADYSMITH | WI | $3.72M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | MARSHFIELD | WI | $3.41M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | RHINELANDER | WI | $2.72M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | MEDFORD | WI | $2.34M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | BLACK RIVER FALLS | WI | $1.63M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | PARK FALLS | WI | $1.52M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | MINOCQUA | WI | $110K |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | MARSHFIELD | WI | $40K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 2,226 | $75K |
| 2024 | 9,511 | $1.79M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 3,538 | 2,851 | $1.78M |
| D7140 | Extraction, erupted tooth or exposed root | 828 | 328 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 891 | 622 | $15K |
| D0210 | Intraoral - complete series of radiographic images | 563 | 552 | $8K |
| D0140 | Limited oral evaluation - problem focused | 690 | 649 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 601 | 417 | $6K |
| D1110 | Prophylaxis - adult | 578 | 566 | $5K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 330 | 262 | $5K |
| D1206 | Topical application of fluoride varnish | 997 | 968 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 567 | 549 | $4K |
| D0120 | Periodic oral evaluation - established patient | 652 | 631 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 668 | 632 | $2K |
| D0274 | Bitewings - four radiographic images | 265 | 256 | $901.94 |
| D1120 | Prophylaxis - child | 226 | 220 | $885.95 |
| D2331 | 57 | 40 | $0.00 | |
| D5899 | 256 | 178 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $0.00 |
| D2394 | 18 | 16 | $0.00 |