NPI: 1609546126 · DAVENPORT, FL 33837 · General Practice Dentistry · NPI assigned 09/16/2021
Authorized official CLAUSSEN, ANN controls 20+ related entities in our dataset. Read more
| Authorized Official | CLAUSSEN, ANN (CEO) |
| Parent Organization | CENTRAL FLORIDA HEALTH CARE, INC. |
| NPI Enumeration Date | 09/16/2021 |
Other providers sharing the same authorized official: CLAUSSEN, ANN
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 692 | $5K |
| 2023 | 10,256 | $117K |
| 2024 | 9,437 | $66K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 1,076 | 1,055 | $35K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 633 | 492 | $27K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,744 | 1,707 | $27K |
| D1110 | Prophylaxis - adult | 516 | 504 | $18K |
| D1120 | Prophylaxis - child | 691 | 675 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 4,233 | 1,742 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 196 | 196 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 232 | 199 | $7K |
| D1206 | Topical application of fluoride varnish | 1,368 | 1,338 | $7K |
| D0140 | Limited oral evaluation - problem focused | 669 | 640 | $6K |
| D0274 | Bitewings - four radiographic images | 1,273 | 1,248 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 119 | 96 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 39 | 36 | $3K |
| D0120 | Periodic oral evaluation - established patient | 165 | 159 | $2K |
| D4341 | 117 | 67 | $2K | |
| D4342 | 186 | 100 | $2K | |
| D0220 | Intraoral - periapical first radiographic image | 2,305 | 2,231 | $1K |
| D1330 | 1,391 | 1,362 | $794.59 | |
| D0272 | Bitewings - two radiographic images | 248 | 238 | $673.50 |
| D4346 | 17 | 17 | $557.23 | |
| D0191 | 82 | 81 | $330.00 | |
| D0602 | 1,017 | 985 | $127.00 | |
| D0603 | 655 | 644 | $86.00 | |
| D0601 | 158 | 158 | $18.00 | |
| D1310 | 1,255 | 1,225 | $0.00 |