NPI: 1588731582 · QUESTA, NM 87556 · Dental Clinic/Center · NPI assigned 11/29/2006
Authorized official SMITH, DOUG controls 20+ related entities in our dataset. Read more
| Authorized Official | SMITH, DOUG (EXECUTIVE VICE PRESIDENT) |
| NPI Enumeration Date | 11/29/2006 |
Other providers sharing the same authorized official: SMITH, DOUG
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 4,346 | $485K |
| 2019 | 3,952 | $405K |
| 2020 | 2,547 | $324K |
| 2021 | 3,126 | $467K |
| 2022 | 2,532 | $361K |
| 2023 | 2,007 | $312K |
| 2024 | 1,037 | $172K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5,555 | 4,172 | $816K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3,657 | 2,953 | $501K |
| D0999 | Unspecified diagnostic procedure, by report | 2,382 | 2,108 | $442K |
| 90837 | Psychotherapy, 53 minutes with patient | 1,720 | 891 | $306K |
| 90834 | Psychotherapy, 45 minutes with patient | 460 | 288 | $82K |
| 99442 | 397 | 359 | $69K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 378 | 165 | $61K |
| 99441 | 291 | 270 | $50K | |
| 0011A | 236 | 236 | $39K | |
| 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 | 1,231 | 778 | $38K |
| Q3014 | Telehealth originating site facility fee | 325 | 185 | $33K |
| 0012A | 186 | 184 | $30K | |
| 0013A | 137 | 137 | $22K | |
| H2015 | Comprehensive community support services, per 15 minutes | 50 | 25 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 26 | 24 | $4K |
| 90791 | Psychiatric diagnostic evaluation | 25 | 25 | $4K |
| 0003A | 30 | 27 | $4K | |
| 0124A | 17 | 17 | $3K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 87 | 64 | $3K |
| 0144A | 15 | 15 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 15 | 15 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12 | 12 | $2K |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12 | 12 | $2K |
| 0072A | 14 | 13 | $1K | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 1,052 | 631 | $434.73 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 15 | 15 | $0.00 |
| D1110 | Prophylaxis - adult | 12 | 12 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 41 | 40 | $0.00 |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | 1,068 | 583 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 48 | 45 | $0.00 |
| 80053 | Comprehensive metabolic panel | 12 | 12 | $0.00 |
| 90688 | 12 | 12 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 12 | 12 | $0.00 |
| 90686 | 17 | 17 | $0.00 |