NPI: 1538531710 · BRENTWOOD, PA 15227 · Federally Qualified Health Center (FQHC) · NPI assigned 10/27/2015
| Authorized Official | FREIDBERG KALSON, SUSAN (CEO) |
| NPI Enumeration Date | 10/27/2015 |
Other providers sharing the same authorized official: FREIDBERG KALSON, SUSAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| SQUIRREL HILL HEALTH CENTER | PITTSBURGH | PA | $5.01M |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 24 | $5K |
| 2021 | 224 | $25K |
| 2023 | 94 | $18K |
| 2024 | 758 | $142K |
| Code | Description | Claims | Bene. Records | 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 |