COUNCIL FOR ADVANCEMENT OF SOCIAL SERVICE AND EDUCATION
NPI: 1275053506
· BOSSIER CITY, LA 71111
· Federally Qualified Health Center (FQHC)
· NPI assigned 06/27/2017
$1.10M
Total Medicaid Paid
Provider Details
| Authorized Official | MOODY, JEFF (C.O.O.) |
| NPI Enumeration Date | 06/27/2017 |
Related Entities
Other providers sharing the same authorized official: MOODY, JEFF
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
87 |
$3K |
| 2019 |
5,455 |
$214K |
| 2020 |
3,098 |
$146K |
| 2021 |
5,549 |
$256K |
| 2022 |
3,962 |
$215K |
| 2023 |
4,749 |
$261K |
| 2024 |
72 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
7,497 |
6,130 |
$946K |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,531 |
952 |
$154K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,835 |
1,599 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
1,564 |
1,388 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
823 |
712 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
403 |
248 |
$0.00 |
| D7140 |
Extraction, erupted tooth or exposed root |
3,406 |
1,417 |
$0.00 |
| 99000 |
|
166 |
105 |
$0.00 |
| 88142 |
|
21 |
14 |
$0.00 |
| 81000 |
|
41 |
23 |
$0.00 |
| D1110 |
Prophylaxis - adult |
1,593 |
1,389 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
658 |
549 |
$0.00 |
| 81025 |
|
874 |
478 |
$0.00 |
| 81003 |
|
888 |
488 |
$0.00 |
| D0330 |
Panoramic radiographic image |
1,526 |
1,393 |
$0.00 |
| D9110 |
|
146 |
143 |
$0.00 |