VALLEY FAMILY HEALTH CARE, INC
NPI: 1588699524
· NYSSA, OR 97913
· General Practice Dentistry
· NPI assigned 07/11/2006
$136K
Total Medicaid Paid
Provider Details
| Authorized Official | RODRIGUEZ, JENNIFER (PAYER ENROLLMENT SPECIALIST) |
| Parent Organization | VALLEY FAMILY HEATLH CARE, INC |
| NPI Enumeration Date | 07/11/2006 |
Related Entities
Other providers sharing the same authorized official: RODRIGUEZ, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40 |
$7K |
| 2019 |
16 |
$60.00 |
| 2020 |
13 |
$0.00 |
| 2021 |
490 |
$50K |
| 2022 |
337 |
$39K |
| 2023 |
100 |
$14K |
| 2024 |
154 |
$26K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
836 |
423 |
$133K |
| D0120 |
Periodic oral evaluation - established patient |
84 |
83 |
$2K |
| D1206 |
Topical application of fluoride varnish |
121 |
119 |
$1K |
| D1330 |
|
97 |
93 |
$0.00 |
| D0603 |
|
12 |
12 |
$0.00 |