NPI: 1568095065 · LAKELAND, FL 33805 · General Practice Dentistry · NPI assigned 02/13/2020
Authorized official CLAUSSEN, ANN controls 20+ related entities in our dataset. Read more
| Authorized Official | CLAUSSEN, ANN (CEO) |
| Parent Organization | CENTRAL FLORIDA HEALTH CARE, INC. |
| NPI Enumeration Date | 02/13/2020 |
Other providers sharing the same authorized official: CLAUSSEN, ANN
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 777 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 27 | 27 | $2K |
| D0274 | Bitewings - four radiographic images | 49 | 49 | $1K |
| D0330 | Panoramic radiographic image | 17 | 17 | $1K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 20 | 14 | $978.00 |
| D1110 | Prophylaxis - adult | 17 | 17 | $898.00 |
| D0140 | Limited oral evaluation - problem focused | 29 | 28 | $458.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13 | 13 | $454.00 |
| D1351 | Sealant - per tooth | 73 | 21 | $395.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 14 | 14 | $199.00 |
| D0120 | Periodic oral evaluation - established patient | 28 | 28 | $196.00 |
| D1206 | Topical application of fluoride varnish | 63 | 63 | $121.00 |
| D0603 | 43 | 43 | $5.00 | |
| D0220 | Intraoral - periapical first radiographic image | 80 | 79 | $0.00 |
| D0191 | 14 | 14 | $0.00 | |
| D1330 | 64 | 64 | $0.00 | |
| D1310 | 63 | 63 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 163 | 62 | $0.00 |