NPI: 1568646560 · VAN WERT, OH 45891 · Community/Behavioral Health Agency · NPI assigned 12/27/2007
Authorized official SMITH, JENNIFER controls 18+ related entities in our dataset. Read more
| Authorized Official | SMITH, JENNIFER (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 12/27/2007 |
Other providers sharing the same authorized official: SMITH, JENNIFER
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 36,698 | $844K |
| 2019 | 42,991 | $945K |
| 2020 | 34,999 | $772K |
| 2021 | 43,431 | $994K |
| 2022 | 29,774 | $855K |
| 2023 | 35,680 | $1.07M |
| 2024 | 21,727 | $734K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 55,168 | 42,178 | $3.87M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40,012 | 22,868 | $799K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 10,625 | 6,513 | $313K |
| D1110 | Prophylaxis - adult | 8,751 | 5,704 | $169K |
| D0120 | Periodic oral evaluation - established patient | 12,730 | 8,223 | $130K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6,179 | 3,890 | $91K |
| D1120 | Prophylaxis - child | 7,381 | 4,758 | $88K |
| D7140 | Extraction, erupted tooth or exposed root | 2,004 | 782 | $86K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 9,695 | 2,650 | $75K |
| 90832 | Psychotherapy, 30 minutes with patient | 3,954 | 2,192 | $71K |
| D0140 | Limited oral evaluation - problem focused | 5,235 | 3,153 | $56K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,059 | 703 | $55K |
| D1208 | Topical application of fluoride, excluding varnish | 7,751 | 4,501 | $54K |
| D0274 | Bitewings - four radiographic images | 4,764 | 3,042 | $53K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 764 | 540 | $38K |
| D1206 | Topical application of fluoride varnish | 1,852 | 1,571 | $33K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1,033 | 590 | $26K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 834 | 492 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 610 | 344 | $18K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 766 | 383 | $18K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 432 | 237 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 674 | 364 | $17K |
| D0272 | Bitewings - two radiographic images | 3,375 | 2,140 | $17K |
| D2140 | 977 | 513 | $16K | |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 1,035 | 858 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 4,207 | 2,706 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,967 | 851 | $8K |
| D2931 | 137 | 65 | $8K | |
| D0330 | Panoramic radiographic image | 565 | 357 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 556 | 296 | $7K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 445 | 290 | $4K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 379 | 226 | $3K |
| 90688 | 290 | 167 | $3K | |
| 0011A | 57 | 56 | $2K | |
| 0012A | 49 | 48 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 326 | 214 | $2K |
| D0210 | Intraoral - complete series of radiographic images | 95 | 74 | $1K |
| 0064A | 26 | 26 | $1K | |
| 83036 | Hemoglobin; glycosylated (A1C) | 362 | 231 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 206 | 124 | $889.50 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 184 | 114 | $794.24 |
| 90686 | 1,073 | 603 | $667.14 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 191 | 142 | $638.53 |
| 99406 | 2,640 | 1,796 | $366.36 | |
| 82962 | 396 | 256 | $283.37 | |
| 90670 | 432 | 281 | $230.63 | |
| D0270 | 48 | 37 | $157.50 | |
| 99188 | 15 | 13 | $150.00 | |
| 90633 | 227 | 142 | $139.65 | |
| 81025 | 72 | 53 | $78.00 | |
| 81002 | 137 | 126 | $22.22 | |
| 97802 | 4,427 | 2,765 | $20.58 | |
| 96127 | 4,929 | 3,489 | $19.85 | |
| 91301 | 217 | 210 | $1.91 | |
| 90648 | 312 | 209 | $0.23 | |
| 90710 | 114 | 65 | $0.16 | |
| 90723 | 154 | 107 | $0.11 | |
| 90696 | 80 | 43 | $0.07 | |
| 91306 | 12 | 12 | $0.06 | |
| 90651 | 41 | 27 | $0.05 | |
| 90685 | 18 | 13 | $0.03 | |
| 90734 | 45 | 26 | $0.02 | |
| 98960 | 4,857 | 3,033 | $0.00 | |
| S9470 | Nutritional counseling, dietitian visit | 13,516 | 9,299 | $0.00 |
| 3016F | 4,208 | 2,959 | $0.00 | |
| 4004F | 2,544 | 1,765 | $0.00 | |
| 1003F | 902 | 775 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 1,135 | 849 | $0.00 |
| 3045F | 16 | 12 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 1,181 | 881 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 3,481 | 2,518 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 156 | 102 | $0.00 |
| D2330 | 46 | 25 | $0.00 | |
| 3074F | 64 | 43 | $0.00 | |
| 3044F | 33 | 28 | $0.00 | |
| 3079F | 40 | 18 | $0.00 | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 12 | 12 | $0.00 |
| D2331 | 18 | 15 | $0.00 |