NPI: 1487037958 · PHOENIX, AZ 85015 · Federally Qualified Health Center (FQHC) · NPI assigned 07/02/2015
| Authorized Official | SWAGERT, JOHN (CEO) |
| Parent Organization | MOUNTAIN PARK HEALTH CENTER |
| NPI Enumeration Date | 07/02/2015 |
Other providers sharing the same authorized official: SWAGERT, JOHN
| Provider | City | State | Total Paid |
|---|---|---|---|
| MOUNTAIN PARK HEALTH CENTER | PHOENIX | AZ | $352.13M |
| MOUNTAIN PARK HEALTH CENTER | PHOENIX | AZ | $4.49M |
| MOUNTAIN PARK HEALTH CENTER | PHOENIX | AZ | $909K |
| MOUNTAIN PARK HEALTH CENTER | PHOENIX | AZ | $785K |
| MOUNTAIN PARK HEALTH CENTER | GOODYEAR | AZ | $233K |
| MOUNTAIN PARK HEALTH CENTER | PHOENIX | AZ | $207K |
| MOUNTAIN PARK HEALTH CENTER | TEMPE | AZ | $180K |
| MOUNTAIN PARK HEALTH CENTER | GLENDALE | AZ | $119K |
| MOUNTAIN PARK HEALTH CENTER | PHOENIX | AZ | $3K |
| MOUNTAIN PARK HEALTH CENTER | PHOENIX | AZ | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,904 | $9K |
| 2019 | 2,930 | $13K |
| 2020 | 1,023 | $12K |
| 2021 | 2,540 | $8K |
| 2022 | 1,800 | $8K |
| 2023 | 1,980 | $18K |
| 2024 | 1,286 | $18K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 5,219 | 4,103 | $86K |
| D0120 | Periodic oral evaluation - established patient | 1,248 | 1,049 | $0.00 |
| D1330 | 1,291 | 972 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 2,079 | 1,743 | $0.00 |
| D0602 | 181 | 138 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 49 | 38 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 810 | 574 | $0.00 |
| D0240 | 189 | 84 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 297 | 229 | $0.00 |
| D0603 | 17 | 17 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 30 | 12 | $0.00 |
| D1120 | Prophylaxis - child | 1,680 | 1,385 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 909 | 758 | $0.00 |
| D0190 | 293 | 285 | $0.00 | |
| D0274 | Bitewings - four radiographic images | 171 | 152 | $0.00 |