CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.

NPI: 1568248284 · CHARLOTTE, NC 28213 · General Practice Dentistry · NPI assigned 09/07/2023

$4K

Total Medicaid Paid

197

Total Claims

193

Beneficiaries

Codes Billed

2024-04

First Month

2024-12

Last Month

Provider Details

Authorized Official	HOLLOMAN, DON (CHIEF EXECUTIVE OFFICER)
NPI Enumeration Date	09/07/2023

Other providers sharing the same authorized official: HOLLOMAN, DON

Provider	City	State	Total Paid
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	CHINA GROVE	NC	$3.29M
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	CONCORD	NC	$1.21M
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	SALISBURY	NC	$194K
CABARRUS ROWAN COMMUNITY HEALTH CENTER, INC	CONCORD	NC	$43K
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	SALISBURY	NC	$23K
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	CONCORD	NC	$8K
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	CHARLOTTE	NC	$6K
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	CHINA GROVE	NC	$2K
CABARRUS ROWAN COMMUNITY HEALTH CENTERS, INC.	CONCORD	NC	$1K

Year	Claims	Total Paid
2024	197	$4K

Code	Description	Claims	Beneficiaries	Total Paid
D0150	Comprehensive oral evaluation - new or established patient	63	60	$3K
D0210	Intraoral - complete series of radiographic images	13	12	$576.64
99199	Unlisted special service, procedure or report	121	121	$340.00