GREATER PHILADELPHIA HEALTH ACTION INC.
NPI: 1205140902
· PHILADELPHIA, PA 19143
· Clinic/Center
· NPI assigned 08/05/2010
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official SMITH, D controls 13+ related entities in our dataset. Read more
$4.20M
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, D (PROVIDER ENROLLMENT SPEC.) |
| NPI Enumeration Date | 08/05/2010 |
Related Entities
Other providers sharing the same authorized official: SMITH, D
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
108 |
$20K |
| 2019 |
3,456 |
$721K |
| 2020 |
2,066 |
$435K |
| 2021 |
3,752 |
$782K |
| 2022 |
3,865 |
$840K |
| 2023 |
4,189 |
$921K |
| 2024 |
3,381 |
$481K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,830 |
14,433 |
$4.20M |
| 99385 |
|
66 |
56 |
$40.00 |
| D1330 |
|
329 |
326 |
$0.00 |
| D0601 |
|
31 |
31 |
$0.00 |
| D0603 |
|
24 |
24 |
$0.00 |
| D1310 |
|
130 |
129 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
39 |
39 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
85 |
85 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
85 |
85 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
34 |
32 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
79 |
78 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
24 |
24 |
$0.00 |
| D1110 |
Prophylaxis - adult |
61 |
61 |
$0.00 |