MOSAIC HEALTH, INC.
NPI: 1598073777
· MOUNT MORRIS, NY 14510
· Federally Qualified Health Center (FQHC)
· NPI assigned 09/21/2010
Provider Details
| Authorized Official | OLSCAMP, LISA (CFO) |
| NPI Enumeration Date | 09/21/2010 |
Related Entities
Other providers sharing the same authorized official: OLSCAMP, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
20 |
$2K |
| 2022 |
53 |
$2K |
| 2023 |
313 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
96 |
96 |
$5K |
| D1120 |
Prophylaxis - child |
64 |
64 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
83 |
83 |
$2K |
| D1206 |
Topical application of fluoride varnish |
86 |
86 |
$2K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
20 |
18 |
$2K |
| D0330 |
Panoramic radiographic image |
15 |
15 |
$750.00 |
| D0274 |
Bitewings - four radiographic images |
22 |
22 |
$657.00 |