NPI: 1457482051 · WILLARD, NC 28478 · Federally Qualified Health Center (FQHC) · NPI assigned 03/08/2007
Authorized official ELLISON, WILLIAM controls 17+ related entities in our dataset. Read more
| Authorized Official | ELLISON, WILLIAM (REVENUE CYCLE MANAGER) |
| NPI Enumeration Date | 03/08/2007 |
Other providers sharing the same authorized official: ELLISON, WILLIAM
| Provider | City | State | Total Paid |
|---|---|---|---|
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | DUNN | NC | $2.29M |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | SALEMBURG | NC | $936K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC. | DUNN | NC | $820K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | BOLIVIA | NC | $816K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | BENSON | NC | $787K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC. | DUNN | NC | $768K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | SHALLOTTE | NC | $509K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | CLINTON | NC | $484K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | TAR HEEL | NC | $324K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | SMITHFIELD | NC | $264K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | WILLARD | NC | $255K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | HARRELLS | NC | $249K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | DUNN | NC | $224K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | OCEAN ISLE BEACH | NC | $168K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | DUNN | NC | $89K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | FOUR OAKS | NC | $25K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | DUBLIN | NC | $9K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 80 | $2K |
| 2019 | 13 | $344.48 |
| 2020 | 34 | $783.68 |
| 2021 | 165 | $4K |
| 2022 | 99 | $2K |
| 2023 | 701 | $4K |
| 2024 | 1,171 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 267 | 240 | $8K |
| D0120 | Periodic oral evaluation - established patient | 347 | 319 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 365 | 301 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 88 | 60 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 18 | 17 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 110 | 79 | $1K |
| D0140 | Limited oral evaluation - problem focused | 29 | 28 | $892.75 |
| D1208 | Topical application of fluoride, excluding varnish | 13 | 12 | $188.64 |
| D1206 | Topical application of fluoride varnish | 29 | 12 | $184.58 |
| D1310 | 422 | 327 | $0.00 | |
| D1330 | 344 | 269 | $0.00 | |
| D0603 | 231 | 194 | $0.00 |