NPI: 1447598321 · LAKE WALES, FL 33853 · General Practice Dentistry · NPI assigned 01/28/2013
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 | 01/28/2013 |
Other providers sharing the same authorized official: CLAUSSEN, ANN
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 47 | $488.06 |
| 2022 | 3,587 | $34K |
| 2023 | 43 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 398 | 371 | $11K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 157 | 146 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 109 | 100 | $7K |
| D1206 | Topical application of fluoride varnish | 159 | 155 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 222 | 193 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 81 | 78 | $2K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 13 | 13 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13 | 13 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13 | 13 | $891.52 |
| D1330 | 147 | 143 | $265.48 | |
| D0140 | Limited oral evaluation - problem focused | 13 | 13 | $141.62 |
| 90461 | 60 | 51 | $0.00 | |
| 3078F | 298 | 250 | $0.00 | |
| 1160F | 112 | 104 | $0.00 | |
| 90633 | 12 | 12 | $0.00 | |
| 1159F | 121 | 111 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 30 | 30 | $0.00 |
| 90670 | 13 | 13 | $0.00 | |
| 92551 | 122 | 106 | $0.00 | |
| 1220F | 82 | 81 | $0.00 | |
| 3074F | 304 | 286 | $0.00 | |
| 4010F | 131 | 105 | $0.00 | |
| 3044F | 75 | 70 | $0.00 | |
| 3075F | 67 | 64 | $0.00 | |
| 3008F | 653 | 509 | $0.00 | |
| 1126F | 53 | 51 | $0.00 | |
| 1036F | 59 | 44 | $0.00 | |
| 3079F | 148 | 126 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 12 | 12 | $0.00 |