NORTHEAST MS HEALTH CARE, INC.
NPI: 1619025269
· BYHALIA, MS 38611
· Federally Qualified Health Center (FQHC)
· NPI assigned 01/08/2007
Provider Details
Related Entities
Other providers sharing the same authorized official: MCKINNEY, MARJORIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15 |
$822.51 |
| 2021 |
723 |
$11K |
| 2022 |
270 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
210 |
175 |
$10K |
| D0140 |
Limited oral evaluation - problem focused |
372 |
285 |
$9K |
| D0220 |
Intraoral - periapical first radiographic image |
122 |
88 |
$672.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
23 |
12 |
$291.00 |
| D0120 |
Periodic oral evaluation - established patient |
18 |
13 |
$99.00 |
| D0330 |
Panoramic radiographic image |
29 |
26 |
$0.00 |
| D1110 |
Prophylaxis - adult |
19 |
15 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
36 |
28 |
$0.00 |
| D1330 |
|
139 |
105 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
40 |
31 |
$0.00 |