JAMESTOWN S'KLALLAM TRIBE
NPI: 1306506415
· SEQUIM, WA 98382
· Federally Qualified Health Center (FQHC)
· NPI assigned 12/30/2021
$390K
Total Medicaid Paid
Provider Details
| Authorized Official | LOWE, CINDY (HEALTH ADMINISTRATOR) |
| NPI Enumeration Date | 12/30/2021 |
Related Entities
Other providers sharing the same authorized official: LOWE, CINDY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
221 |
$105K |
| 2024 |
693 |
$285K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
745 |
479 |
$387K |
| D0140 |
Limited oral evaluation - problem focused |
43 |
40 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
31 |
26 |
$1K |
| D1354 |
|
68 |
13 |
$408.00 |
| D0330 |
Panoramic radiographic image |
27 |
26 |
$347.76 |