NPI: 1467449660 · FROSTPROOF, FL 33843 · General Practice Dentistry · NPI assigned 10/03/2005
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 | 10/03/2005 |
Other providers sharing the same authorized official: CLAUSSEN, ANN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 93 | $881.85 |
| 2019 | 70 | $722.55 |
| 2020 | 1,624 | $17K |
| 2021 | 552 | $5K |
| 2022 | 14,229 | $84K |
| 2023 | 10,641 | $105K |
| 2024 | 5,126 | $46K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,740 | 2,431 | $79K |
| D1110 | Prophylaxis - adult | 1,183 | 1,160 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 811 | 787 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 314 | 223 | $15K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,900 | 1,021 | $13K |
| D7140 | Extraction, erupted tooth or exposed root | 446 | 236 | $12K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 556 | 331 | $11K |
| D0274 | Bitewings - four radiographic images | 846 | 816 | $11K |
| D1120 | Prophylaxis - child | 253 | 250 | $9K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 321 | 214 | $8K |
| D1351 | Sealant - per tooth | 328 | 107 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 140 | 139 | $6K |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 558 | 423 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 260 | 147 | $4K |
| D0120 | Periodic oral evaluation - established patient | 549 | 534 | $4K |
| D1206 | Topical application of fluoride varnish | 1,712 | 1,675 | $4K |
| D0140 | Limited oral evaluation - problem focused | 266 | 257 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 15 | 12 | $1K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16 | 13 | $923.29 |
| D0220 | Intraoral - periapical first radiographic image | 1,477 | 1,427 | $775.94 |
| D0603 | 649 | 639 | $710.54 | |
| 99385 | 17 | 12 | $638.93 | |
| D1330 | 1,643 | 1,611 | $446.47 | |
| 3074F | 2,472 | 1,469 | $275.00 | |
| D0602 | 401 | 377 | $104.88 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 25 | 12 | $90.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 16 | 15 | $60.00 |
| 1159F | 431 | 74 | $0.00 | |
| 3078F | 2,316 | 1,257 | $0.00 | |
| D0191 | 106 | 97 | $0.00 | |
| 1160F | 387 | 66 | $0.00 | |
| 3008F | 3,750 | 2,059 | $0.00 | |
| 1126F | 445 | 257 | $0.00 | |
| D1310 | 1,754 | 1,713 | $0.00 | |
| D0601 | 70 | 68 | $0.00 | |
| 1125F | 302 | 53 | $0.00 | |
| 3079F | 851 | 466 | $0.00 | |
| 1220F | 116 | 31 | $0.00 | |
| 3075F | 179 | 100 | $0.00 | |
| 4010F | 639 | 295 | $0.00 | |
| 3352F | 30 | 26 | $0.00 | |
| 3351F | 26 | 26 | $0.00 | |
| 1036F | 19 | 12 | $0.00 |