NPI: 1184332900 · VISALIA, CA 93277 · Case Manager/Care Coordinator · NPI assigned 11/10/2022
Authorized official LOPEZ, MARY LOU controls 20+ related entities in our dataset. Read more
| Authorized Official | LOPEZ, MARY LOU (DIRECTOR OF BILLING) |
| NPI Enumeration Date | 11/10/2022 |
Other providers sharing the same authorized official: LOPEZ, MARY LOU
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 13,009 | $703K |
| 2024 | 34,190 | $1.47M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 6,390 | 3,874 | $1.20M |
| T1015 | Clinic visit/encounter, all-inclusive | 6,099 | 4,673 | $931K |
| 90834 | Psychotherapy, 45 minutes with patient | 784 | 463 | $25K |
| 90832 | Psychotherapy, 30 minutes with patient | 425 | 301 | $9K |
| 90791 | Psychiatric diagnostic evaluation | 36 | 26 | $2K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 924 | 678 | $773.55 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2,860 | 2,157 | $722.25 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 212 | 187 | $37.47 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 310 | 275 | $0.06 |
| D0270 | 75 | 75 | $0.00 | |
| 3725F | 3,641 | 2,634 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 193 | 130 | $0.00 |
| D9430 | 409 | 384 | $0.00 | |
| D1110 | Prophylaxis - adult | 195 | 195 | $0.00 |
| 81003 | 141 | 112 | $0.00 | |
| 1160F | 1,510 | 962 | $0.00 | |
| 3078F | 2,199 | 1,772 | $0.00 | |
| 90715 | 12 | 12 | $0.00 | |
| 99173 | 38 | 29 | $0.00 | |
| 1159F | 1,510 | 962 | $0.00 | |
| D4341 | 113 | 58 | $0.00 | |
| 81025 | 46 | 37 | $0.00 | |
| D1120 | Prophylaxis - child | 212 | 212 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 350 | 343 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 12 | 12 | $0.00 |
| D0274 | Bitewings - four radiographic images | 230 | 228 | $0.00 |
| 90658 | 31 | 31 | $0.00 | |
| 3008F | 3,398 | 2,627 | $0.00 | |
| 3075F | 422 | 362 | $0.00 | |
| 3079F | 811 | 679 | $0.00 | |
| 85018 | 44 | 36 | $0.00 | |
| 1126F | 2,172 | 1,758 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 2,004 | 485 | $0.00 |
| 1125F | 348 | 295 | $0.00 | |
| 1036F | 4,197 | 2,866 | $0.00 | |
| 3074F | 2,429 | 1,927 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 41 | 41 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 449 | 444 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 346 | 341 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 293 | 216 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 290 | 285 | $0.00 |
| 92551 | 38 | 29 | $0.00 | |
| D1208 | Topical application of fluoride, excluding varnish | 503 | 503 | $0.00 |
| D0603 | 264 | 261 | $0.00 | |
| D0602 | 25 | 24 | $0.00 | |
| D0601 | 102 | 102 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 14 | 14 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 16 | 14 | $0.00 |
| 1034F | 20 | 14 | $0.00 | |
| D5899 | 16 | 13 | $0.00 |