CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.

NPI: 1265043574 · CHINA GROVE, NC 28023 · General Practice Dentistry · NPI assigned 08/11/2020

$2K

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2023-04

First Month

2024-10

Last Month

Provider Details

Authorized Official	HOLLOMAN, DON (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date	08/11/2020

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.	CONCORD	NC	$8K
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	CHARLOTTE	NC	$6K
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	CHARLOTTE	NC	$4K
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	CONCORD	NC	$1K

Year	Claims	Total Paid
2023	45	$2K
2024	17	$83.30

Code	Description	Claims	Beneficiaries	Total Paid
D0150	Comprehensive oral evaluation - new or established patient	33	27	$1K
D0330	Panoramic radiographic image	12	12	$607.50
99199	Unlisted special service, procedure or report	17	12	$83.30