NEW RIVER COMMUNITY HEALTH CARE, INC
NPI: 1366889040
· LAKE BUTLER, FL 32054
· Family Medicine Physician
· NPI assigned 06/04/2013
Provider Details
| Authorized Official | PIETRANGELO, JOE (ADMINISTRATOR) |
| NPI Enumeration Date | 06/04/2013 |
Related Entities
Other providers sharing the same authorized official: PIETRANGELO, JOE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
101 |
$1K |
| 2023 |
617 |
$9K |
| 2024 |
1,218 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1110 |
Prophylaxis - adult |
73 |
72 |
$6K |
| D1206 |
Topical application of fluoride varnish |
359 |
355 |
$5K |
| D0120 |
Periodic oral evaluation - established patient |
214 |
214 |
$5K |
| D1351 |
Sealant - per tooth |
512 |
125 |
$3K |
| D1120 |
Prophylaxis - child |
121 |
117 |
$1K |
| D0191 |
|
111 |
110 |
$884.00 |
| D1354 |
|
129 |
42 |
$651.90 |
| D9999 |
Unspecified adjunctive procedure, by report |
19 |
19 |
$475.00 |
| D1330 |
|
354 |
349 |
$239.01 |
| D9996 |
|
29 |
29 |
$220.00 |
| D0190 |
|
15 |
15 |
$5.00 |