NPI: 1225584287 · DUNN, NC 28334 · Federally Qualified Health Center (FQHC) · NPI assigned 08/30/2016
Authorized official ELLISON, WILLIAM controls 17+ related entities in our dataset. Read more
| Authorized Official | ELLISON, WILLIAM (CYCLE REVENUE MANAGER) |
| NPI Enumeration Date | 08/30/2016 |
Other providers sharing the same authorized official: ELLISON, WILLIAM
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,727 | $39K |
| 2019 | 2,026 | $36K |
| 2022 | 462 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 1,102 | 205 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 589 | 399 | $16K |
| D1120 | Prophylaxis - child | 733 | 531 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 93 | 64 | $8K |
| D0330 | Panoramic radiographic image | 211 | 147 | $7K |
| D1208 | Topical application of fluoride, excluding varnish | 649 | 454 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 88 | 62 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 448 | 376 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 468 | 360 | $4K |
| D0272 | Bitewings - two radiographic images | 406 | 271 | $4K |
| D0120 | Periodic oral evaluation - established patient | 132 | 98 | $2K |
| D1206 | Topical application of fluoride varnish | 29 | 13 | $167.75 |
| D0603 | 91 | 59 | $0.00 | |
| D0601 | 49 | 30 | $0.00 | |
| D0602 | 127 | 66 | $0.00 |