FETTER HEALTH CARE NETWORK, INC.
NPI: 1245639095
· CHARLESTON, SC 29403
· Federally Qualified Health Center (FQHC)
· NPI assigned 08/18/2014
Provider Details
| Authorized Official | JONES, ARETHA (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 08/18/2014 |
Related Entities
Other providers sharing the same authorized official: JONES, ARETHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
159 |
$7K |
| 2019 |
1,024 |
$52K |
| 2020 |
178 |
$8K |
| 2021 |
56 |
$2K |
| 2022 |
183 |
$7K |
| 2023 |
60 |
$3K |
| 2024 |
12 |
$586.13 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
592 |
592 |
$24K |
| D7140 |
Extraction, erupted tooth or exposed root |
245 |
98 |
$20K |
| D0330 |
Panoramic radiographic image |
387 |
387 |
$18K |
| D1110 |
Prophylaxis - adult |
234 |
234 |
$12K |
| D0210 |
Intraoral - complete series of radiographic images |
42 |
42 |
$2K |
| D1206 |
Topical application of fluoride varnish |
87 |
87 |
$1K |
| D0274 |
Bitewings - four radiographic images |
32 |
32 |
$749.88 |
| D1120 |
Prophylaxis - child |
15 |
15 |
$522.00 |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$476.70 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$272.60 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$227.28 |