NPI: 1255820858 · LIMA, OH 45801 · Federally Qualified Health Center (FQHC) · NPI assigned 05/09/2018
Authorized official SUNDERHAUS, JANIS controls 20+ related entities in our dataset. Read more
| Authorized Official | SUNDERHAUS, JANIS (CEO) |
| Parent Organization | HEALTH PARTNERS OF WESTERN OHIO |
| NPI Enumeration Date | 05/09/2018 |
Other providers sharing the same authorized official: SUNDERHAUS, JANIS
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 200 | $4K |
| 2020 | 889 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 386 | 108 | $6K |
| D1206 | Topical application of fluoride varnish | 224 | 222 | $3K |
| D1120 | Prophylaxis - child | 143 | 142 | $3K |
| D0120 | Periodic oral evaluation - established patient | 150 | 138 | $3K |
| D0140 | Limited oral evaluation - problem focused | 67 | 66 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 45 | 44 | $1K |
| D1110 | Prophylaxis - adult | 27 | 27 | $931.84 |
| D0274 | Bitewings - four radiographic images | 19 | 19 | $273.00 |
| D0220 | Intraoral - periapical first radiographic image | 28 | 28 | $105.00 |