NPI: 1467752998 · WINTER HAVEN, FL 33881 · General Practice Dentistry · NPI assigned 11/01/2010
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 | 11/01/2010 |
Other providers sharing the same authorized official: CLAUSSEN, ANN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 99 | $669.00 |
| 2019 | 368 | $3K |
| 2020 | 1,187 | $8K |
| 2021 | 1,045 | $7K |
| 2022 | 6,938 | $68K |
| 2023 | 18,483 | $206K |
| 2024 | 10,973 | $130K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5,487 | 4,924 | $199K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,348 | 1,232 | $64K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1,079 | 952 | $45K |
| D0330 | Panoramic radiographic image | 1,075 | 1,026 | $27K |
| D0230 | Intraoral - periapical each additional radiographic image | 3,834 | 1,637 | $11K |
| D0140 | Limited oral evaluation - problem focused | 1,202 | 1,114 | $10K |
| D1110 | Prophylaxis - adult | 319 | 289 | $9K |
| 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 | 1,331 | 989 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,210 | 1,131 | $8K |
| D0274 | Bitewings - four radiographic images | 1,267 | 1,218 | $6K |
| D1206 | Topical application of fluoride varnish | 1,216 | 1,042 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 194 | 154 | $5K |
| D1120 | Prophylaxis - child | 239 | 159 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 137 | 112 | $3K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 34 | 30 | $3K |
| 3074F | 2,378 | 2,119 | $2K | |
| 99385 | 31 | 27 | $2K | |
| D1330 | 1,324 | 1,167 | $1K | |
| D0120 | Periodic oral evaluation - established patient | 310 | 292 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 2,737 | 2,553 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | 32 | 26 | $971.12 |
| D0145 | Oral evaluation for a patient under three years of age | 21 | 13 | $621.29 |
| D1351 | Sealant - per tooth | 79 | 25 | $572.18 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 36 | 27 | $534.09 |
| 3078F | 1,971 | 1,492 | $394.88 | |
| D4341 | 53 | 30 | $365.36 | |
| 1220F | 73 | 56 | $335.16 | |
| 3075F | 302 | 266 | $300.00 | |
| D4346 | 14 | 14 | $223.03 | |
| D0191 | 29 | 28 | $118.00 | |
| 3079F | 888 | 686 | $110.73 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 14 | 12 | $106.70 |
| 90686 | 16 | 15 | $97.05 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 31 | 29 | $94.30 |
| D0603 | 1,083 | 981 | $64.01 | |
| 81025 | 12 | 12 | $28.50 | |
| D0601 | 31 | 31 | $25.27 | |
| D0602 | 473 | 454 | $6.04 | |
| 3352F | 303 | 224 | $0.00 | |
| 4010F | 1,040 | 812 | $0.00 | |
| 3008F | 3,919 | 3,114 | $0.00 | |
| 1126F | 810 | 710 | $0.00 | |
| 3351F | 545 | 408 | $0.00 | |
| 3080F | 33 | 30 | $0.00 | |
| 1036F | 122 | 118 | $0.00 | |
| D1310 | 219 | 211 | $0.00 | |
| 3353F | 99 | 74 | $0.00 | |
| 3077F | 81 | 55 | $0.00 | |
| 4004F | 12 | 12 | $0.00 |