NPI: 1376970277 · BEAVERTON, OR 97005 · Federally Qualified Health Center (FQHC) · NPI assigned 10/09/2013
Authorized official DENNIS, ANNMARIE controls 17+ related entities in our dataset. Read more
| Authorized Official | DENNIS, ANNMARIE (CORPORATE COMPLIANCE OFFICER) |
| NPI Enumeration Date | 10/09/2013 |
Other providers sharing the same authorized official: DENNIS, ANNMARIE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,922 | $257K |
| 2019 | 14,806 | $428K |
| 2020 | 7,835 | $183K |
| 2021 | 15,177 | $225K |
| 2022 | 15,451 | $232K |
| 2023 | 18,700 | $284K |
| 2024 | 16,509 | $253K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 8,363 | 8,285 | $320K |
| D1120 | Prophylaxis - child | 5,649 | 5,595 | $260K |
| D1206 | Topical application of fluoride varnish | 11,606 | 11,455 | $242K |
| D1110 | Prophylaxis - adult | 2,909 | 2,880 | $174K |
| D0230 | Intraoral - periapical each additional radiographic image | 18,481 | 6,170 | $161K |
| D0220 | Intraoral - periapical first radiographic image | 8,556 | 8,294 | $129K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2,140 | 2,119 | $126K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,308 | 965 | $89K |
| D0140 | Limited oral evaluation - problem focused | 1,644 | 1,581 | $83K |
| D0274 | Bitewings - four radiographic images | 3,756 | 3,711 | $79K |
| D1351 | Sealant - per tooth | 1,912 | 658 | $55K |
| D0210 | Intraoral - complete series of radiographic images | 1,062 | 1,053 | $52K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 940 | 672 | $51K |
| D0272 | Bitewings - two radiographic images | 1,382 | 1,370 | $25K |
| D7140 | Extraction, erupted tooth or exposed root | 59 | 37 | $9K |
| D0240 | 477 | 242 | $3K | |
| D0330 | Panoramic radiographic image | 45 | 45 | $2K |
| D0270 | 104 | 104 | $936.00 | |
| D1354 | 36 | 12 | $195.00 | |
| D0603 | 5,432 | 5,359 | $1.25 | |
| D0602 | 871 | 868 | $0.05 | |
| D1310 | 10,179 | 9,957 | $0.00 | |
| D1330 | 10,489 | 10,185 | $0.00 |