SQUIRREL HILL HEALTH CENTER
NPI: 1538531710
· BRENTWOOD, PA 15227
· Federally Qualified Health Center (FQHC)
· NPI assigned 10/27/2015
$190K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: FREIDBERG KALSON, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$5K |
| 2021 |
224 |
$25K |
| 2023 |
94 |
$18K |
| 2024 |
758 |
$142K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
933 |
856 |
$190K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
57 |
$220.70 |
| D1110 |
Prophylaxis - adult |
22 |
22 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
26 |
26 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
44 |
44 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
17 |
14 |
$0.00 |