Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CANYONLANDS COMMUNITY HEALTH CARE

NPI: 1598052466 · SAFFORD, AZ 85546 · Community Health Clinic/Center · NPI assigned 06/29/2011

$32K
Total Medicaid Paid
914
Total Claims
469
Beneficiaries
8
Codes Billed
2019-01
First Month
2019-12
Last Month

Provider Details

Authorized OfficialNESTOR, JOHN (SITE DIRECTOR)
NPI Enumeration Date06/29/2011

Related Entities

Other providers sharing the same authorized official: NESTOR, JOHN

ProviderCityStateTotal Paid
AMESBURY PSYCHOLOGICAL CENTER, INC AMESBURY MA $1.85M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 914 $32K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 550 292 $32K
D1120 Prophylaxis - child 87 32 $0.00
D1206 Topical application of fluoride varnish 152 72 $0.00
D0602 13 13 $0.00
D1330 19 19 $0.00
D0140 Limited oral evaluation - problem focused 15 13 $0.00
D0272 Bitewings - two radiographic images 46 16 $0.00
D0150 Comprehensive oral evaluation - new or established patient 32 12 $0.00