ST. JUDE NEIGHBORHOOD HEALTH CENTERS
NPI: 1225397409
· BUENA PARK, CA 90620
· Dental Clinic/Center
· NPI assigned 05/09/2012
$887K
Total Medicaid Paid
Provider Details
| Authorized Official | BROWN, TIMOTHY (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 05/09/2012 |
Related Entities
Other providers sharing the same authorized official: BROWN, TIMOTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,463 |
$370K |
| 2019 |
2,136 |
$326K |
| 2020 |
732 |
$114K |
| 2021 |
595 |
$78K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 00003 |
Internal/system code - not a standard HCPCS code |
5,926 |
4,799 |
$887K |