NPI: 1295997575 · MCMINNVILLE, OR 97128 · Federally Qualified Health Center (FQHC) · NPI assigned 06/27/2008
Authorized official DENNIS, ANNMARIE controls 17+ related entities in our dataset. Read more
| Authorized Official | DENNIS, ANNMARIE (CORPORATE COMPLIANCE OFFICER) |
| NPI Enumeration Date | 06/27/2008 |
Other providers sharing the same authorized official: DENNIS, ANNMARIE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 19,461 | $681K |
| 2019 | 18,602 | $762K |
| 2020 | 16,853 | $472K |
| 2021 | 20,841 | $354K |
| 2022 | 17,034 | $224K |
| 2023 | 19,077 | $147K |
| 2024 | 39,628 | $249K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24,428 | 21,606 | $934K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 11,315 | 9,873 | $493K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2,304 | 1,672 | $130K |
| D0120 | Periodic oral evaluation - established patient | 4,487 | 4,315 | $105K |
| D1206 | Topical application of fluoride varnish | 6,906 | 6,577 | $105K |
| D0140 | Limited oral evaluation - problem focused | 2,940 | 2,639 | $87K |
| D1120 | Prophylaxis - child | 2,229 | 2,091 | $77K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,037 | 1,885 | $64K |
| D0274 | Bitewings - four radiographic images | 2,673 | 2,627 | $57K |
| D0220 | Intraoral - periapical first radiographic image | 5,947 | 5,605 | $56K |
| 90686 | 3,026 | 2,996 | $55K | |
| D1110 | Prophylaxis - adult | 1,363 | 1,350 | $54K |
| 99442 | 2,968 | 2,823 | $52K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 988 | 747 | $47K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2,420 | 2,387 | $42K |
| 99441 | 4,178 | 3,895 | $38K | |
| D0210 | Intraoral - complete series of radiographic images | 1,007 | 900 | $38K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 415 | 412 | $31K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1,984 | 1,752 | $30K |
| D0230 | Intraoral - periapical each additional radiographic image | 10,179 | 3,723 | $29K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 313 | 309 | $28K |
| 96158 | 617 | 530 | $24K | |
| 0012A | 618 | 617 | $24K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 739 | 697 | $22K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 219 | 219 | $21K |
| 0011A | 593 | 593 | $21K | |
| D7140 | Extraction, erupted tooth or exposed root | 374 | 146 | $20K |
| 96156 | 324 | 320 | $15K | |
| 92552 | 473 | 467 | $15K | |
| 92551 | 1,068 | 1,066 | $12K | |
| 99443 | 411 | 395 | $10K | |
| 96150 | 513 | 497 | $10K | |
| D1351 | Sealant - per tooth | 662 | 192 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 865 | 857 | $8K |
| 96152 | 429 | 351 | $8K | |
| 91320 | 74 | 74 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 370 | 320 | $7K |
| D0270 | 821 | 796 | $7K | |
| 98927 | 136 | 103 | $6K | |
| 0064A | 160 | 158 | $6K | |
| 96160 | 1,858 | 1,792 | $6K | |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 84 | 82 | $6K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 398 | 375 | $5K |
| 83036 | Hemoglobin; glycosylated (A1C) | 811 | 723 | $5K |
| 90674 | 356 | 344 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 39 | 39 | $4K |
| 90791 | Psychiatric diagnostic evaluation | 185 | 183 | $4K |
| D0272 | Bitewings - two radiographic images | 331 | 266 | $4K |
| 99385 | 26 | 26 | $3K | |
| 90832 | Psychotherapy, 30 minutes with patient | 240 | 216 | $3K |
| 99173 | 1,725 | 1,715 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 32 | 27 | $3K |
| 98967 | 94 | 90 | $2K | |
| 90656 | 227 | 227 | $2K | |
| 90480 | 109 | 109 | $2K | |
| D0240 | 141 | 72 | $2K | |
| 98968 | 94 | 75 | $2K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 35 | 34 | $2K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 110 | 103 | $2K |
| 0002A | 46 | 46 | $2K | |
| 99215 | Prolong outpt/office vis | 15 | 14 | $2K |
| 0031A | 40 | 40 | $2K | |
| 90715 | 54 | 52 | $1K | |
| 0124A | 39 | 39 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 12 | 12 | $1K |
| 90651 | 59 | 58 | $1K | |
| 99408 | 40 | 40 | $1K | |
| 99607 | 95 | 50 | $1K | |
| D2331 | 17 | 13 | $1K | |
| 90746 | 26 | 26 | $1K | |
| D9995 | 415 | 407 | $913.50 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 12 | 12 | $894.12 |
| 0001A | 38 | 38 | $670.16 | |
| 99606 | 21 | 17 | $630.21 | |
| 90734 | 26 | 26 | $570.96 | |
| 90670 | 26 | 26 | $558.55 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 40 | 40 | $535.25 |
| D1354 | 78 | 50 | $466.00 | |
| 99605 | 13 | 13 | $455.13 | |
| 90647 | 13 | 13 | $285.48 | |
| 90723 | 12 | 12 | $263.52 | |
| 81025 | 26 | 26 | $158.50 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 78 | 69 | $113.88 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 49 | 45 | $61.80 |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 2,031 | 1,553 | $34.35 |
| D0603 | 3,500 | 3,445 | $27.72 | |
| 81003 | 16 | 16 | $23.92 | |
| D0602 | 543 | 543 | $4.66 | |
| 2000F | 2,098 | 2,017 | $0.01 | |
| 2001F | 1,931 | 1,876 | $0.01 | |
| 3074F | 1,522 | 1,483 | $0.01 | |
| 3079F | 271 | 265 | $0.01 | |
| 3008F | 1,947 | 1,901 | $0.01 | |
| 1036F | 1,453 | 1,391 | $0.01 | |
| 2010F | 2,452 | 2,349 | $0.01 | |
| 91301 | 893 | 867 | $0.01 | |
| 1034F | 163 | 156 | $0.01 | |
| 1159F | 1,658 | 1,598 | $0.01 | |
| 1160F | 1,658 | 1,598 | $0.01 | |
| D1330 | 6,775 | 6,643 | $0.00 | |
| D1310 | 6,656 | 6,546 | $0.00 | |
| 4037F | 233 | 232 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 67 | 56 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 39 | 28 | $0.00 |
| 3351F | 675 | 675 | $0.00 | |
| 3075F | 100 | 98 | $0.00 | |
| 91307 | 64 | 64 | $0.00 | |
| 91306 | 161 | 159 | $0.00 | |
| 4010F | 175 | 146 | $0.00 | |
| 91305 | 13 | 13 | $0.00 | |
| 91303 | 39 | 39 | $0.00 | |
| 3078F | 1,472 | 1,436 | $0.00 | |
| 4040F | 198 | 181 | $0.00 | |
| 4274F | 843 | 724 | $0.00 | |
| 3077F | 27 | 26 | $0.00 | |
| 91312 | 39 | 39 | $0.00 | |
| D9990 | 26 | 25 | $0.00 |