OZARK TRI COUNTY HEALTHCARE CONSORTIUM
NPI: 1558712422
· GOODMAN, MO 64843
· Federally Qualified Health Center (FQHC)
· NPI assigned 06/22/2016
Provider Details
| Authorized Official | MCBRIDE, DON (CEO) |
| NPI Enumeration Date | 06/22/2016 |
Related Entities
Other providers sharing the same authorized official: MCBRIDE, DON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
184 |
$14K |
| 2019 |
221 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
203 |
66 |
$28K |
| D0140 |
Limited oral evaluation - problem focused |
103 |
99 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
99 |
98 |
$2K |