GOOCHLAND FREE CLINIC AND FAMILY SERVICES, INC.
NPI: 1255628939
· GOOCHLAND, VA 23063
· Primary Care Clinic/Center
· NPI assigned 07/01/2011
Provider Details
| Authorized Official | GRAHAM, SALLY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 07/01/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
375 |
$11K |
| 2023 |
669 |
$10K |
| 2024 |
422 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
1,211 |
968 |
$18K |
| D0210 |
Intraoral - complete series of radiographic images |
39 |
28 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
38 |
38 |
$890.61 |
| D1110 |
Prophylaxis - adult |
63 |
59 |
$797.55 |
| D0220 |
Intraoral - periapical first radiographic image |
34 |
30 |
$203.42 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
35 |
27 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
46 |
46 |
$0.00 |