WELL CARE COMMUNITY HEALTH, INC.
NPI: 1568199008
· CENTERVILLE, IN 47330
· General Practice Dentistry
· NPI assigned 08/04/2022
Provider Details
| Authorized Official | HAWKEY, MARIANNE (CREDENTIALING SPECIALIST) |
| Parent Organization | WELL CARE COMMUNITY HEALTH, INC. |
| NPI Enumeration Date | 08/04/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
97 |
$2K |
| 2024 |
318 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9999 |
Unspecified adjunctive procedure, by report |
400 |
335 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
15 |
12 |
$84.90 |