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RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC
RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC
NPI: 1316090798
· TEMECULA, CA 92592
· Federally Qualified Health Center (FQHC)
· NPI assigned 01/19/2007
$642K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: THOMSEN, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
22 |
$9K |
| 2022 |
297 |
$145K |
| 2023 |
463 |
$215K |
| 2024 |
616 |
$273K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
941 |
784 |
$633K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22 |
21 |
$9K |
| D1330 |
|
63 |
56 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
137 |
70 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
15 |
15 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
220 |
214 |
$0.00 |