NPI: 1548594526 · MANSFIELD, OH 44906 · Federally Qualified Health Center (FQHC) · NPI assigned 09/24/2009
Authorized official ANDERSON, PEGGY controls 15+ related entities in our dataset. Read more
| Authorized Official | ANDERSON, PEGGY (CFO) |
| Parent Organization | THIRD STREET COMMUNITY CLINIC |
| NPI Enumeration Date | 09/24/2009 |
Other providers sharing the same authorized official: ANDERSON, PEGGY
| Provider | City | State | Total Paid |
|---|---|---|---|
| THIRD STREET COMMUNITY CLINIC, INC. | MANSFIELD | OH | $12.93M |
| THIRD STREET COMMUNITY CLINIC, INC. | MANSFIELD | OH | $5.21M |
| THIRD STREET COMMUNITY CLINIC INC | SHELBY | OH | $2.81M |
| THIRD STREET COMMUNITY CLINIC INC | MANSFIELD | OH | $2.80M |
| THIRD STREET COMMUNITY CLINIC, INC | MANSFIELD | OH | $1.39M |
| THIRD STREET COMMUNITY CLINIC, INC. | ONTARIO | OH | $774K |
| THIRD STREET COMMUNITY CLINIC, INC | BUCYRUS | OH | $593K |
| THIRD STREET COMMUNITY CLINIC, INC. | ASHLAND | OH | $462K |
| THIRD STREET COMMUNITY CLINIC, INC. | BUCYRUS | OH | $400K |
| THIRD STREET COMMUNITY CLINIC, INC. | ASHLAND | OH | $378K |
| THIRD STREET COMMUNITY CLINIC, INC. | MANSFIELD | OH | $306K |
| ALLIANCE OB GYN SPECIALISTS PLLC | DENTON | TX | $297K |
| THIRD STREET COMMUNITY CLINIC INC | MARION | OH | $234K |
| THIRD STREET COMMUNITY CLINIC, INC | MANSFIELD | OH | $54K |
| SURGICAL CAREGIVERS OF FORT WORTH LLC | FORT WORTH | TX | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,199 | $177K |
| 2019 | 6,895 | $170K |
| 2020 | 4,032 | $116K |
| 2021 | 4,765 | $139K |
| 2022 | 4,306 | $118K |
| 2023 | 967 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 4,110 | 2,674 | $229K |
| D0330 | Panoramic radiographic image | 2,486 | 2,403 | $107K |
| D1110 | Prophylaxis - adult | 2,943 | 2,890 | $98K |
| D0140 | Limited oral evaluation - problem focused | 4,611 | 4,461 | $79K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 713 | 577 | $35K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,412 | 1,353 | $35K |
| D0274 | Bitewings - four radiographic images | 2,220 | 2,151 | $30K |
| D0120 | Periodic oral evaluation - established patient | 1,727 | 1,696 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 606 | 452 | $28K |
| D1208 | Topical application of fluoride, excluding varnish | 1,723 | 1,690 | $24K |
| D1120 | Prophylaxis - child | 1,090 | 1,064 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 3,167 | 3,060 | $14K |
| D1351 | Sealant - per tooth | 343 | 108 | $7K |
| D1206 | Topical application of fluoride varnish | 296 | 296 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 53 | 43 | $3K |
| D0272 | Bitewings - two radiographic images | 172 | 170 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 139 | 89 | $465.00 |
| D0210 | Intraoral - complete series of radiographic images | 13 | 13 | $368.40 |
| D1330 | 1,278 | 1,204 | $0.00 | |
| D3120 | 15 | 12 | $0.00 | |
| D1999 | 47 | 46 | $0.00 |