NPI: 1184105082 · BEAVERTON, OR 97005 · Federally Qualified Health Center (FQHC) · NPI assigned 08/28/2018
Authorized official DENNIS, ANNMARIE controls 17+ related entities in our dataset. Read more
| Authorized Official | DENNIS, ANNMARIE (CORPORATE COMPLIANCE OFFICER) |
| NPI Enumeration Date | 08/28/2018 |
Other providers sharing the same authorized official: DENNIS, ANNMARIE
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 4,889 | $184K |
| 2020 | 7,886 | $199K |
| 2021 | 14,861 | $237K |
| 2022 | 11,670 | $169K |
| 2023 | 15,373 | $239K |
| 2024 | 11,981 | $178K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 4,199 | 4,139 | $160K |
| D1206 | Topical application of fluoride varnish | 7,367 | 7,256 | $153K |
| D1110 | Prophylaxis - adult | 2,191 | 2,182 | $131K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,129 | 2,091 | $124K |
| D1120 | Prophylaxis - child | 2,518 | 2,483 | $114K |
| D0230 | Intraoral - periapical each additional radiographic image | 10,322 | 3,121 | $90K |
| D0140 | Limited oral evaluation - problem focused | 1,501 | 1,421 | $75K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,070 | 814 | $73K |
| D0220 | Intraoral - periapical first radiographic image | 4,688 | 4,523 | $70K |
| D0210 | Intraoral - complete series of radiographic images | 1,045 | 1,026 | $50K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 893 | 646 | $48K |
| D0274 | Bitewings - four radiographic images | 1,789 | 1,755 | $38K |
| D9995 | 849 | 842 | $36K | |
| D4341 | 111 | 81 | $10K | |
| D0191 | 530 | 526 | $10K | |
| D0272 | Bitewings - two radiographic images | 414 | 404 | $7K |
| D1354 | 911 | 259 | $6K | |
| D4910 | 82 | 81 | $4K | |
| D1351 | Sealant - per tooth | 108 | 40 | $3K |
| D0240 | 336 | 170 | $2K | |
| D0270 | 155 | 151 | $1K | |
| D0603 | 3,506 | 3,432 | $0.81 | |
| D0602 | 1,556 | 1,541 | $0.23 | |
| D1330 | 9,430 | 9,025 | $0.00 | |
| D1310 | 8,960 | 8,647 | $0.00 |