NPI: 1194111468 · CLARKSBURG, WV 26301 · Federally Qualified Health Center (FQHC) · NPI assigned 04/13/2015
Authorized official POTASNIK, DORA controls 20+ related entities in our dataset. Read more
| Authorized Official | POTASNIK, DORA (CREDENTIALING) |
| NPI Enumeration Date | 04/13/2015 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 64 | $288.08 |
| 2023 | 50 | $314.76 |
| 2024 | 81 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 40 | 36 | $10K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 71 | 64 | $737.64 |
| 90686 | 57 | 51 | $43.04 | |
| 92551 | 14 | 13 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 13 | 12 | $0.00 |