NPI: 1386063485 · FLAGLER, CO 80815 · Federally Qualified Health Center (FQHC) · NPI assigned 04/16/2014
Authorized official SPILLANE, RYAN controls 20+ related entities in our dataset. Read more
| Authorized Official | SPILLANE, RYAN (CFO) |
| Parent Organization | PEAK VISTA COMMUNITY HEALTH CENTERS |
| NPI Enumeration Date | 04/16/2014 |
Other providers sharing the same authorized official: SPILLANE, RYAN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 414 | $89K |
| 2020 | 290 | $66K |
| 2021 | 529 | $122K |
| 2022 | 411 | $75K |
| 2023 | 550 | $182K |
| 2024 | 80 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 1,925 | 1,454 | $563K |
| D0120 | Periodic oral evaluation - established patient | 180 | 166 | $2K |
| D1206 | Topical application of fluoride varnish | 108 | 100 | $2K |
| D1110 | Prophylaxis - adult | 37 | 30 | $2K |
| D1120 | Prophylaxis - child | 12 | 12 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 12 | 12 | $0.00 |