STATE OF TENNESSEEE
NPI: 1366589335
· PIKEVILLE, TN 37367
· Public Health or Welfare Agency
· NPI assigned 01/31/2007
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MCCARTHY, RICHARD controls 12+ related entities in our dataset. Read more
Provider Details
| Authorized Official | MCCARTHY, RICHARD (ACCOUNTING MANAGER) |
| Parent Organization | STATE OF TENNESSEE |
| NPI Enumeration Date | 01/31/2007 |
Related Entities
Other providers sharing the same authorized official: MCCARTHY, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
414 |
$6K |
| 2019 |
218 |
$3K |
| 2022 |
141 |
$2K |
| 2023 |
95 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1206 |
Topical application of fluoride varnish |
296 |
285 |
$5K |
| D0190 |
|
275 |
264 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
123 |
120 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
22 |
22 |
$643.50 |
| D1120 |
Prophylaxis - child |
19 |
19 |
$546.08 |
| D0272 |
Bitewings - two radiographic images |
18 |
17 |
$277.95 |
| 90686 |
|
49 |
49 |
$30.00 |
| 90674 |
|
66 |
62 |
$0.00 |