CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.

NPI: 1235846668 · CONCORD, NC 28025 · General Practice Dentistry · NPI assigned 11/04/2022

$8K

Total Medicaid Paid

149

Total Claims

132

Beneficiaries

Codes Billed

2023-06

First Month

2024-11

Last Month

Provider Details

Authorized Official	HOLLOMAN, DON (CEO)
NPI Enumeration Date	11/04/2022

Other providers sharing the same authorized official: HOLLOMAN, DON

Provider	City	State	Total Paid
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	CHINA GROVE	NC	$3.29M
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	CONCORD	NC	$1.21M
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	SALISBURY	NC	$194K
CABARRUS ROWAN COMMUNITY HEALTH CENTER, INC	CONCORD	NC	$43K
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	SALISBURY	NC	$23K
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	CHARLOTTE	NC	$6K
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	CHARLOTTE	NC	$4K
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	CHINA GROVE	NC	$2K
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	CONCORD	NC	$1K

Year	Claims	Total Paid
2023	17	$551.80
2024	132	$7K

Code	Description	Claims	Beneficiaries	Total Paid
D0150	Comprehensive oral evaluation - new or established patient	104	92	$4K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	18	15	$2K
D0210	Intraoral - complete series of radiographic images	27	25	$2K