RIVER VALLEY HEALTH
NPI: 1174114540
· JERSEY SHORE, PA 17740
· Federally Qualified Health Center (FQHC)
· NPI assigned 01/28/2021
$137K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: HOUSEKNECHT, MAX
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
2,165 |
$137K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
875 |
848 |
$137K |
| D1110 |
Prophylaxis - adult |
394 |
394 |
$0.00 |
| D1120 |
Prophylaxis - child |
146 |
146 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
183 |
183 |
$0.00 |
| D0190 |
|
109 |
109 |
$0.00 |
| D0330 |
Panoramic radiographic image |
34 |
33 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
254 |
254 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
152 |
152 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
18 |
15 |
$0.00 |