NPI: 1396995940 · VICTORIA, VA 23974 · Federally Qualified Health Center (FQHC) · NPI assigned 09/19/2008
| Authorized Official | KING, APRIL (CEO) |
| Parent Organization | SOUTHERN DOMINION HEALTH SYSTEM, INC. |
| NPI Enumeration Date | 09/19/2008 |
Other providers sharing the same authorized official: KING, APRIL
| Provider | City | State | Total Paid |
|---|---|---|---|
| SOUTHERN DOMINION HEALTH SYSTEM, INC. | VICTORIA | VA | $829K |
| SOUTHERN DOMINION HEALTH SYSTEM, INC. | VICTORIA | VA | $810K |
| SOUTHERN DOMINION HEALTH SYSTEM, INC. | DINWIDDIE | VA | $802K |
| SOUTHERN DOMINION HEALTH SYSTEM, INC. | AMELIA COURT HOUSE | VA | $574K |
| SOUTHERN DOMINION HEALTH SYSTEM, INC. | EMPORIA | VA | $338K |
| DR. APRIL R. KING, OD, LLC | RAINBOW CITY | AL | $54K |
| SOUTHERN DOMINION HEALTH SYSTEM, INC. | VICTORIA | VA | $4K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 617 | $14K |
| 2019 | 977 | $23K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 189 | 175 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 160 | 37 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 257 | 179 | $5K |
| D0140 | Limited oral evaluation - problem focused | 279 | 191 | $4K |
| D1120 | Prophylaxis - child | 109 | 108 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 136 | 135 | $3K |
| D0120 | Periodic oral evaluation - established patient | 140 | 138 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 201 | 134 | $1K |
| D1206 | Topical application of fluoride varnish | 56 | 56 | $1K |
| D0274 | Bitewings - four radiographic images | 39 | 39 | $1K |
| D0330 | Panoramic radiographic image | 16 | 13 | $431.92 |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $359.55 |