NPI: 1376907493 · DURANGO, CO 81301 · Federally Qualified Health Center (FQHC) · NPI assigned 04/06/2016
Authorized official BURKE, SHELLY controls 18+ related entities in our dataset. Read more
| Authorized Official | BURKE, SHELLY (CHIEF EXECUTIVE OFFICER) |
| Parent Organization | SOUTHWEST COLORADO MENTAL HEALTH CENTER, INC |
| NPI Enumeration Date | 04/06/2016 |
Other providers sharing the same authorized official: BURKE, SHELLY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 3,850 | $673K |
| 2019 | 4,962 | $996K |
| 2020 | 3,531 | $895K |
| 2021 | 3,443 | $669K |
| 2022 | 3,083 | $713K |
| 2023 | 2,256 | $517K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 11,761 | 8,844 | $4.19M |
| D1110 | Prophylaxis - adult | 1,840 | 1,560 | $52K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 834 | 529 | $50K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 798 | 375 | $45K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,349 | 1,149 | $30K |
| D0140 | Limited oral evaluation - problem focused | 637 | 505 | $21K |
| D0330 | Panoramic radiographic image | 485 | 398 | $19K |
| D0274 | Bitewings - four radiographic images | 688 | 554 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 1,095 | 862 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 193 | 92 | $11K |
| D0120 | Periodic oral evaluation - established patient | 970 | 889 | $9K |
| D0210 | Intraoral - complete series of radiographic images | 183 | 156 | $5K |
| D1206 | Topical application of fluoride varnish | 250 | 201 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 42 | 40 | $186.00 |