HIGH COUNTRY COMMUNITY HEALTH

NPI: 1588366355 · BOONE, NC 28607 · Federally Qualified Health Center (FQHC) · NPI assigned 03/17/2023

$70K

Total Medicaid Paid

2,248

Total Claims

2,049

Beneficiaries

Codes Billed

2023-08

First Month

2024-12

Last Month

Provider Details

Authorized Official	SALTHOUSE, ALICE (CEO)
NPI Enumeration Date	03/17/2023

Other providers sharing the same authorized official: SALTHOUSE, ALICE

Provider	City	State	Total Paid
HIGH COUNTRY COMMUNITY HEALTH	ELKIN	NC	$6.61M
HIGH COUNTRY COMMUNITY HEALTH	MORGANTON	NC	$3.13M
HIGH COUNTRY COMMUNITY HEALTH	BOONE	NC	$2.86M
HIGH COUNTRY COMMUNITY HEALTH	NEWLAND	NC	$2.11M
HIGH COUNTRY COMMUNITY HEALTH	CONNELLY SPRINGS	NC	$1.42M
HIGH COUNTRY COMMUNITY HEALTH	BOONE	NC	$988K
HIGH COUNTRY COMMUNITY HEALTH	NEWLAND	NC	$33K
HIGH COUNTRY COMMUNITY HEALTH	MORGANTON	NC	$7K

Year	Claims	Total Paid
2023	243	$5K
2024	2,005	$65K

Code	Description	Claims	Beneficiaries	Total Paid
D0140	Limited oral evaluation - problem focused	341	317	$12K
D7140	Extraction, erupted tooth or exposed root	195	98	$12K
D0330	Panoramic radiographic image	166	162	$8K
D0120	Periodic oral evaluation - established patient	316	310	$8K
D0220	Intraoral - periapical first radiographic image	443	413	$7K
D1110	Prophylaxis - adult	132	129	$5K
D0274	Bitewings - four radiographic images	148	144	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	39	25	$4K
D0150	Comprehensive oral evaluation - new or established patient	56	56	$3K
D1208	Topical application of fluoride, excluding varnish	146	143	$2K
D0230	Intraoral - periapical each additional radiographic image	137	127	$2K
D1120	Prophylaxis - child	59	58	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	15	13	$1K
D0272	Bitewings - two radiographic images	29	29	$522.45
D0603		26	25	$0.00