NPI: 1538476973 · OCEAN ISLE BEACH, NC 28469 · Federally Qualified Health Center (FQHC) · NPI assigned 09/07/2010
Authorized official ELLISON, WILLIAM controls 17+ related entities in our dataset. Read more
| Authorized Official | ELLISON, WILLIAM (REVENUE CYCLE MANAGER) |
| NPI Enumeration Date | 09/07/2010 |
Other providers sharing the same authorized official: ELLISON, WILLIAM
| Provider | City | State | Total Paid |
|---|---|---|---|
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | DUNN | NC | $2.29M |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | SALEMBURG | NC | $936K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC. | DUNN | NC | $820K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | BOLIVIA | NC | $816K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | BENSON | NC | $787K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC. | DUNN | NC | $768K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | SHALLOTTE | NC | $509K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | CLINTON | NC | $484K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | TAR HEEL | NC | $324K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | SMITHFIELD | NC | $264K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | WILLARD | NC | $255K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | HARRELLS | NC | $249K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | DUNN | NC | $224K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | DUNN | NC | $89K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | WILLARD | NC | $26K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | FOUR OAKS | NC | $25K |
| TRI COUNTY COMMUNITY HEALTH COUNCIL INC | DUBLIN | NC | $9K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,177 | $15K |
| 2019 | 821 | $17K |
| 2020 | 538 | $12K |
| 2021 | 686 | $17K |
| 2022 | 476 | $9K |
| 2023 | 3,577 | $37K |
| 2024 | 3,295 | $61K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 1,607 | 1,250 | $32K |
| D1110 | Prophylaxis - adult | 940 | 721 | $26K |
| D0220 | Intraoral - periapical first radiographic image | 1,498 | 1,042 | $16K |
| D0330 | Panoramic radiographic image | 418 | 284 | $15K |
| D7140 | Extraction, erupted tooth or exposed root | 362 | 124 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 417 | 305 | $12K |
| D0274 | Bitewings - four radiographic images | 549 | 372 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,276 | 583 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 616 | 468 | $8K |
| D1120 | Prophylaxis - child | 330 | 238 | $6K |
| D0140 | Limited oral evaluation - problem focused | 296 | 180 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 122 | 55 | $6K |
| D1206 | Topical application of fluoride varnish | 281 | 157 | $3K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17 | 13 | $1K |
| D1351 | Sealant - per tooth | 36 | 12 | $1K |
| D0272 | Bitewings - two radiographic images | 44 | 27 | $423.93 |
| 99199 | Unlisted special service, procedure or report | 15 | 15 | $75.00 |
| D1330 | 801 | 536 | $0.00 | |
| D0603 | 123 | 89 | $0.00 | |
| D1310 | 737 | 500 | $0.00 | |
| D0602 | 85 | 46 | $0.00 |