GOSHEN MEDICAL CENTER, INC.
NPI: 1477878874
· CLINTON, NC 28328
· Federally Qualified Health Center (FQHC)
· NPI assigned 03/30/2010
Provider Details
| Authorized Official | HOWARD, TAMMY (SITE LEADER) |
| NPI Enumeration Date | 03/30/2010 |
Related Entities
Other providers sharing the same authorized official: HOWARD, TAMMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
369 |
$7K |
| 2019 |
431 |
$9K |
| 2020 |
64 |
$2K |
| 2021 |
159 |
$840.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
352 |
319 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
181 |
152 |
$2K |
| D1120 |
Prophylaxis - child |
101 |
86 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
135 |
120 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
31 |
29 |
$1K |
| D1110 |
Prophylaxis - adult |
29 |
29 |
$990.38 |
| 99199 |
Unlisted special service, procedure or report |
159 |
159 |
$840.00 |
| D0272 |
Bitewings - two radiographic images |
17 |
15 |
$270.90 |
| D0230 |
Intraoral - periapical each additional radiographic image |
18 |
12 |
$226.44 |