NPI: 1376899252 · BENSON, NC 27504 · Federally Qualified Health Center (FQHC) · NPI assigned 07/30/2012
Authorized official ELLISON, WILLIAM controls 17+ related entities in our dataset. Read more
| Authorized Official | ELLISON, WILLIAM (REVENUE CYCLE MANAGER) |
| NPI Enumeration Date | 07/30/2012 |
Other providers sharing the same authorized official: ELLISON, WILLIAM
| Provider | City | State | Total Paid |
|---|---|---|---|
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | DUNN | NC | $2.29M |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | SALEMBURG | NC | $936K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC. | DUNN | NC | $820K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | BOLIVIA | NC | $816K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC. | DUNN | NC | $768K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | SHALLOTTE | NC | $509K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | CLINTON | NC | $484K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | TAR HEEL | NC | $324K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | SMITHFIELD | NC | $264K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | WILLARD | NC | $255K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | HARRELLS | NC | $249K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | DUNN | NC | $224K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | OCEAN ISLE BEACH | NC | $168K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | DUNN | NC | $89K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | WILLARD | NC | $26K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | FOUR OAKS | NC | $25K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | DUBLIN | NC | $9K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 620 | $42K |
| 2019 | 754 | $58K |
| 2020 | 440 | $38K |
| 2021 | 4,808 | $90K |
| 2022 | 14,894 | $123K |
| 2023 | 28,465 | $200K |
| 2024 | 28,936 | $236K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 5,868 | 4,210 | $500K |
| 99199 | Unlisted special service, procedure or report | 50,890 | 28,524 | $247K |
| D0220 | Intraoral - periapical first radiographic image | 594 | 469 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 643 | 314 | $5K |
| D0274 | Bitewings - four radiographic images | 233 | 179 | $5K |
| D0330 | Panoramic radiographic image | 141 | 105 | $5K |
| D1110 | Prophylaxis - adult | 172 | 139 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 145 | 113 | $4K |
| D0120 | Periodic oral evaluation - established patient | 211 | 160 | $3K |
| D1206 | Topical application of fluoride varnish | 253 | 152 | $2K |
| 36415 | Collection of venous blood by venipuncture | 1,579 | 1,048 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 219 | 166 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | 15 | 12 | $914.16 |
| 90686 | 79 | 55 | $273.64 | |
| 81003 | 14 | 12 | $31.46 | |
| 3074F | 1,229 | 849 | $1.74 | |
| 3078F | 1,217 | 855 | $1.59 | |
| 1126F | 1,109 | 757 | $1.45 | |
| 99173 | 28 | 28 | $1.00 | |
| 1125F | 300 | 204 | $0.47 | |
| 3079F | 239 | 150 | $0.27 | |
| 1159F | 103 | 86 | $0.17 | |
| 1160F | 103 | 86 | $0.16 | |
| 3075F | 96 | 59 | $0.13 | |
| 3008F | 2,469 | 1,669 | $0.12 | |
| 3044F | 43 | 27 | $0.01 | |
| 1000F | 2,578 | 1,732 | $0.00 | |
| 2000F | 2,107 | 1,449 | $0.00 | |
| D1310 | 408 | 291 | $0.00 | |
| 3351F | 543 | 333 | $0.00 | |
| 2001F | 2,084 | 1,429 | $0.00 | |
| D1330 | 790 | 521 | $0.00 | |
| 1220F | 2,104 | 1,444 | $0.00 | |
| D0603 | 311 | 234 | $0.00 |