NPI: 1487741005 · LIVINGSTON, MT 59047 · Family Medicine Physician · NPI assigned 10/06/2006
Authorized official MARK, DAVID controls 19+ related entities in our dataset. Read more
| Authorized Official | MARK, DAVID (CEO) |
| NPI Enumeration Date | 10/06/2006 |
Other providers sharing the same authorized official: MARK, DAVID
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 23,969 | $0.00 |
| 2019 | 23,505 | $0.00 |
| 2020 | 17,894 | $0.00 |
| 2021 | 17,898 | $0.00 |
| 2022 | 19,964 | $0.00 |
| 2023 | 17,795 | $0.00 |
| 2024 | 4,388 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 3,677 | 3,523 | $0.00 |
| D2160 | 172 | 144 | $0.00 | |
| 90651 | 178 | 171 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,570 | 1,534 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 2,834 | 2,768 | $0.00 |
| 90686 | 1,375 | 1,346 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 914 | 889 | $0.00 |
| 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 | 5,902 | 4,402 | $0.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27,320 | 23,619 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1,079 | 1,051 | $0.00 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 347 | 306 | $0.00 |
| 99441 | 1,113 | 1,038 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 1,092 | 1,070 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 7,438 | 6,971 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9,771 | 8,787 | $0.00 |
| 90834 | Psychotherapy, 45 minutes with patient | 21,034 | 9,291 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 2,309 | 1,246 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 947 | 932 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 44 | 43 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 29 | 29 | $0.00 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 533 | 294 | $0.00 |
| D2331 | 173 | 124 | $0.00 | |
| 98967 | 328 | 200 | $0.00 | |
| 99417 | Prolong home eval add 15m | 15 | 15 | $0.00 |
| D0272 | Bitewings - two radiographic images | 60 | 60 | $0.00 |
| 99443 | 252 | 237 | $0.00 | |
| 90480 | 36 | 30 | $0.00 | |
| 90732 | 55 | 54 | $0.00 | |
| 90674 | 19 | 19 | $0.00 | |
| D2330 | 80 | 53 | $0.00 | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 21 | 13 | $0.00 |
| D2335 | 14 | 13 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 16 | 16 | $0.00 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1,425 | 1,371 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1,245 | 1,204 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1,235 | 930 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 179 | 174 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 2,170 | 1,521 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 1,576 | 1,525 | $0.00 |
| D1110 | Prophylaxis - adult | 3,991 | 3,900 | $0.00 |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | 835 | 345 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3,928 | 3,679 | $0.00 |
| 90682 | 185 | 183 | $0.00 | |
| D0330 | Panoramic radiographic image | 504 | 496 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 596 | 573 | $0.00 |
| D0274 | Bitewings - four radiographic images | 2,708 | 2,646 | $0.00 |
| 99215 | Prolong outpt/office vis | 158 | 140 | $0.00 |
| 90837 | Psychotherapy, 53 minutes with patient | 1,187 | 722 | $0.00 |
| 99442 | 1,647 | 1,495 | $0.00 | |
| D0270 | 1,881 | 1,849 | $0.00 | |
| 87806 | 187 | 185 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 3,128 | 3,041 | $0.00 |
| 81003 | 1,090 | 1,028 | $0.00 | |
| 98968 | 2,385 | 1,182 | $0.00 | |
| 90715 | 215 | 209 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 156 | 153 | $0.00 |
| 98966 | 16 | 15 | $0.00 | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 244 | 236 | $0.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 899 | 717 | $0.00 |
| D1120 | Prophylaxis - child | 247 | 245 | $0.00 |
| D2140 | 53 | 38 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 87 | 79 | $0.00 |
| 17110 | 42 | 36 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 76 | 71 | $0.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 177 | 75 | $0.00 |
| 82274 | 81 | 79 | $0.00 | |
| 90734 | 45 | 40 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 66 | 62 | $0.00 |
| 91320 | 22 | 17 | $0.00 |