NPI: 1396282299 · HAINES CITY, FL 33844 · General Practice Dentistry · NPI assigned 01/30/2017
Authorized official CLAUSSEN, ANN controls 20+ related entities in our dataset. Read more
| Authorized Official | CLAUSSEN, ANN (CEO) |
| Parent Organization | CENTRAL FLORIDA HEALTH CARE INC |
| NPI Enumeration Date | 01/30/2017 |
Other providers sharing the same authorized official: CLAUSSEN, ANN
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 319 | $2K |
| 2022 | 7,706 | $85K |
| 2023 | 4,648 | $30K |
| 2024 | 3,666 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 483 | 482 | $23K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 536 | 498 | $20K |
| D1110 | Prophylaxis - adult | 372 | 370 | $15K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 228 | 212 | $12K |
| D0274 | Bitewings - four radiographic images | 715 | 715 | $11K |
| D1206 | Topical application of fluoride varnish | 1,176 | 1,164 | $10K |
| D1120 | Prophylaxis - child | 182 | 182 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 494 | 493 | $6K |
| H1000 | Prenatal care, at-risk assessment | 90 | 60 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 62 | 62 | $5K |
| D0140 | Limited oral evaluation - problem focused | 474 | 467 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 41 | 40 | $4K |
| D0120 | Periodic oral evaluation - established patient | 279 | 279 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 60 | 57 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 4,081 | 927 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 19 | 19 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 197 | 190 | $1K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 13 | 13 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1,331 | 1,323 | $1K |
| D1330 | 1,392 | 1,362 | $990.08 | |
| D0191 | 265 | 262 | $800.01 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 16 | 12 | $668.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12 | 12 | $545.00 |
| D9999 | Unspecified adjunctive procedure, by report | 13 | 13 | $325.00 |
| 99441 | 16 | 16 | $145.19 | |
| 81025 | 122 | 114 | $56.84 | |
| D0603 | 349 | 348 | $52.08 | |
| 3078F | 229 | 178 | $38.86 | |
| D0602 | 345 | 344 | $38.09 | |
| D0601 | 169 | 169 | $13.02 | |
| 85018 | 58 | 56 | $4.86 | |
| 1159F | 83 | 80 | $0.00 | |
| 1160F | 78 | 75 | $0.00 | |
| 90461 | 29 | 28 | $0.00 | |
| 90670 | 12 | 12 | $0.00 | |
| D1310 | 1,299 | 1,285 | $0.00 | |
| 92551 | 219 | 165 | $0.00 | |
| 96127 | 41 | 29 | $0.00 | |
| 1220F | 78 | 71 | $0.00 | |
| 3075F | 15 | 15 | $0.00 | |
| 90723 | 12 | 12 | $0.00 | |
| 3008F | 310 | 246 | $0.00 | |
| 3074F | 204 | 191 | $0.00 | |
| 1125F | 12 | 12 | $0.00 | |
| 3044F | 13 | 13 | $0.00 | |
| 3079F | 49 | 46 | $0.00 | |
| 1126F | 46 | 43 | $0.00 | |
| 1036F | 20 | 20 | $0.00 |