NPI: 1225337819 · LAKE WALES, FL 33853 · General Practice Dentistry · NPI assigned 03/22/2011
Authorized official CLAUSSEN, ANN controls 20+ related entities in our dataset. Read more
| Authorized Official | CLAUSSEN, ANN (CEO) |
| Parent Organization | CENTRAL FLORIDA HEALTH CARE INC |
| NPI Enumeration Date | 03/22/2011 |
Other providers sharing the same authorized official: CLAUSSEN, ANN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 65 | $0.00 |
| 2019 | 63 | $235.00 |
| 2020 | 589 | $6K |
| 2021 | 1,069 | $11K |
| 2022 | 9,897 | $105K |
| 2023 | 16,950 | $212K |
| 2024 | 12,145 | $125K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,696 | 3,287 | $103K |
| D1110 | Prophylaxis - adult | 1,028 | 1,007 | $35K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 584 | 518 | $26K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 831 | 577 | $25K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,115 | 1,102 | $25K |
| D1120 | Prophylaxis - child | 718 | 708 | $22K |
| D0230 | Intraoral - periapical each additional radiographic image | 4,308 | 2,101 | $21K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 296 | 258 | $20K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 265 | 255 | $19K |
| D0330 | Panoramic radiographic image | 478 | 473 | $18K |
| D1206 | Topical application of fluoride varnish | 2,376 | 2,334 | $17K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 366 | 312 | $15K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 199 | 194 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 797 | 690 | $14K |
| D0274 | Bitewings - four radiographic images | 1,458 | 1,442 | $13K |
| D1351 | Sealant - per tooth | 711 | 179 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 118 | 118 | $9K |
| D0120 | Periodic oral evaluation - established patient | 882 | 872 | $9K |
| D0140 | Limited oral evaluation - problem focused | 909 | 847 | $9K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 112 | 106 | $8K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 804 | 766 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 187 | 148 | $6K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 86 | 72 | $6K |
| D0220 | Intraoral - periapical first radiographic image | 2,846 | 2,784 | $3K |
| D0191 | 633 | 620 | $2K | |
| D1330 | 2,371 | 2,333 | $794.40 | |
| D4341 | 40 | 17 | $273.84 | |
| 90686 | 206 | 189 | $268.19 | |
| 3074F | 913 | 790 | $250.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 23 | 17 | $126.24 |
| D0603 | 1,263 | 1,248 | $92.14 | |
| 90651 | 37 | 37 | $89.51 | |
| 87428 | 12 | 12 | $75.66 | |
| 92551 | 991 | 758 | $71.51 | |
| 90461 | 26 | 26 | $60.00 | |
| D0272 | Bitewings - two radiographic images | 44 | 43 | $59.88 |
| D0602 | 822 | 812 | $53.10 | |
| 85018 | 19 | 19 | $38.11 | |
| 1036F | 1,299 | 915 | $26.18 | |
| D0601 | 331 | 323 | $20.04 | |
| 3008F | 2,322 | 1,816 | $0.00 | |
| D1310 | 2,318 | 2,267 | $0.00 | |
| 1220F | 207 | 204 | $0.00 | |
| 4010F | 79 | 73 | $0.00 | |
| 3079F | 463 | 305 | $0.00 | |
| 3075F | 98 | 83 | $0.00 | |
| 90723 | 14 | 14 | $0.00 | |
| 3351F | 48 | 44 | $0.00 | |
| 3353F | 48 | 31 | $0.00 | |
| 90647 | 25 | 25 | $0.00 | |
| 90677 | 12 | 12 | $0.00 | |
| 90670 | 41 | 41 | $0.00 | |
| 3078F | 838 | 603 | $0.00 | |
| 4004F | 34 | 24 | $0.00 | |
| 90734 | 15 | 15 | $0.00 | |
| 1124F | 16 | 12 | $0.00 |