FENWAY COMMUNITY HEALTH CENTER INC
NPI: 1184899957
· BOSTON, MA 02116
· Community/Retail Pharmacy
· NPI assigned 04/23/2008
Provider Details
| Authorized Official | MELE, RALPH (DIRECTOR OF PHARMACY) |
| NPI Enumeration Date | 04/23/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
226 |
$2K |
| 2020 |
83 |
$2K |
| 2021 |
118 |
$1K |
| 2022 |
288 |
$5K |
| 2023 |
794 |
$19K |
| 2024 |
713 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9450 |
|
1,075 |
853 |
$19K |
| D1110 |
Prophylaxis - adult |
547 |
527 |
$17K |
| D0120 |
Periodic oral evaluation - established patient |
427 |
408 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
71 |
62 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
12 |
12 |
$825.00 |
| D1330 |
|
31 |
31 |
$434.00 |
| D0220 |
Intraoral - periapical first radiographic image |
47 |
40 |
$421.60 |
| D0274 |
Bitewings - four radiographic images |
12 |
12 |
$132.00 |