NPI: 1417007436 · SAINT PAUL, MN 55107 · Dental Clinic/Center · NPI assigned 01/11/2007
Authorized official MOORE, REUBEN controls 15+ related entities in our dataset. Read more
| Authorized Official | MOORE, REUBEN (CEO) |
| NPI Enumeration Date | 01/11/2007 |
Other providers sharing the same authorized official: MOORE, REUBEN
| Provider | City | State | Total Paid |
|---|---|---|---|
| WEST SIDE COMMUNITY HEALTH SERVICES, INC. | SAINT PAUL | MN | $23.81M |
| WEST SIDE COMMUNITY HEALTH SERVICES, INC | SAINT PAUL | MN | $17.31M |
| WEST SIDE COMMUNITY HEALTH SERVICES, INC. | ST PAUL | MN | $7.04M |
| WEST SIDE COMMUNITY HEALTH SERVICES, INC. | SAINT PAUL | MN | $4.48M |
| WEST SIDE COMMUNITY HEALTH SERVICES, INC | SAINT PAUL | MN | $4.46M |
| WEST SIDE COMMUNITY HEALTH SERVICES, INC. | SAINT PAUL | MN | $1.18M |
| WEST SIDE COMMUNITY HEALTH SERVICES, INC | SAINT PAUL | MN | $1.10M |
| WEST SIDE COMMUNITY HEALTH SERVICES, INC. | SAINT PAUL | MN | $884K |
| WEST SIDE COMMUNITY HEALTH SERVICES, INC. | ST PAUL | MN | $842K |
| WEST SIDE COMMUNITY HEALTH SERVICES, INC. | SAINT PAUL | MN | $633K |
| WEST SIDE COMMUNITY HEALTH SERVICES, INC. | SAINT PAUL | MN | $584K |
| WEST SIDE COMMUNITY HEALTH SERVICES, INC. | SAINT PAUL | MN | $473K |
| WEST SIDE COMMUNITY HEALTH SERVICES, INC. | SAINT PAUL | MN | $311K |
| WEST SIDE COMMUNITY HEALTH SERVICES, INC. | SAINT PAUL | MN | $261K |
| WEST SIDE COMMUNITY HEALTH SERVICES, INC. | SAINT PAUL | MN | $57K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,484 | $198K |
| 2019 | 3,790 | $226K |
| 2020 | 2,811 | $257K |
| 2021 | 5,033 | $431K |
| 2022 | 2,576 | $246K |
| 2023 | 2,108 | $250K |
| 2024 | 547 | $95K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 3,179 | 2,978 | $611K |
| D0120 | Periodic oral evaluation - established patient | 2,773 | 2,717 | $492K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,681 | 1,122 | $279K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 909 | 650 | $159K |
| D0150 | Comprehensive oral evaluation - new or established patient | 747 | 722 | $121K |
| D7140 | Extraction, erupted tooth or exposed root | 141 | 103 | $21K |
| D1120 | Prophylaxis - child | 1,875 | 1,839 | $7K |
| D1351 | Sealant - per tooth | 1,244 | 422 | $5K |
| D5899 | 53 | 36 | $4K | |
| D1110 | Prophylaxis - adult | 1,284 | 1,253 | $2K |
| D0330 | Panoramic radiographic image | 866 | 832 | $737.58 |
| D1330 | 1,939 | 1,904 | $612.22 | |
| D0274 | Bitewings - four radiographic images | 1,578 | 1,537 | $437.47 |
| D0220 | Intraoral - periapical first radiographic image | 1,904 | 1,803 | $428.49 |
| D0270 | 615 | 568 | $94.42 | |
| D0210 | Intraoral - complete series of radiographic images | 148 | 144 | $81.36 |
| D1206 | Topical application of fluoride varnish | 2,131 | 2,086 | $30.32 |
| D0230 | Intraoral - periapical each additional radiographic image | 178 | 128 | $4.26 |
| D9996 | 19 | 19 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 85 | 83 | $0.00 |