NPI: 1629640461 · CLOVIS, CA 93612 · Case Manager/Care Coordinator · NPI assigned 07/12/2021
Authorized official LOPEZ, MARY LOU controls 20+ related entities in our dataset. Read more
| Authorized Official | LOPEZ, MARY LOU (DIRECTOR OF BILLING) |
| NPI Enumeration Date | 07/12/2021 |
Other providers sharing the same authorized official: LOPEZ, MARY LOU
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 16,838 | $1.13M |
| 2023 | 52,971 | $2.10M |
| 2024 | 92,905 | $2.98M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 24,301 | 19,991 | $3.67M |
| 00003 | Internal/system code - not a standard HCPCS code | 12,780 | 9,205 | $2.45M |
| 90834 | Psychotherapy, 45 minutes with patient | 1,880 | 1,146 | $50K |
| 90791 | Psychiatric diagnostic evaluation | 601 | 453 | $27K |
| 90832 | Psychotherapy, 30 minutes with patient | 533 | 395 | $10K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 2,546 | 1,340 | $6K |
| G9920 | Screening performed and negative | 1,216 | 831 | $6K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14,257 | 9,860 | $654.64 |
| 0124A | 27 | 21 | $536.00 | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 7,084 | 4,669 | $477.39 |
| G9919 | Screening performed and positive and provision of recommendations | 33 | 25 | $203.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 177 | 132 | $202.65 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3,247 | 2,079 | $136.65 |
| 99385 | 90 | 79 | $114.10 | |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 524 | 338 | $72.81 |
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 462 | 359 | $57.20 |
| 81003 | 446 | 329 | $1.96 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1,529 | 1,042 | $0.16 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12 | 12 | $0.00 |
| 1160F | 4,418 | 3,066 | $0.00 | |
| D9430 | 606 | 591 | $0.00 | |
| 3078F | 8,488 | 6,828 | $0.00 | |
| 3725F | 12,530 | 9,504 | $0.00 | |
| D0270 | 333 | 332 | $0.00 | |
| D1120 | Prophylaxis - child | 423 | 422 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 99 | 77 | $0.00 |
| D1110 | Prophylaxis - adult | 430 | 429 | $0.00 |
| D0274 | Bitewings - four radiographic images | 411 | 409 | $0.00 |
| 81025 | 200 | 143 | $0.00 | |
| 1159F | 4,418 | 3,066 | $0.00 | |
| 90715 | 194 | 130 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 150 | 150 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 621 | 606 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 73 | 73 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 272 | 201 | $0.00 |
| D4341 | 122 | 82 | $0.00 | |
| 99173 | 180 | 155 | $0.00 | |
| 3077F | 597 | 505 | $0.00 | |
| 90658 | 159 | 159 | $0.00 | |
| D4910 | 17 | 16 | $0.00 | |
| 91322 | 13 | 13 | $0.00 | |
| 91312 | 19 | 19 | $0.00 | |
| 1036F | 13,490 | 9,655 | $0.00 | |
| 92551 | 190 | 169 | $0.00 | |
| 1126F | 4,716 | 3,787 | $0.00 | |
| 3079F | 2,936 | 2,480 | $0.00 | |
| 3008F | 11,926 | 9,298 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 129 | 125 | $0.00 |
| 3080F | 159 | 133 | $0.00 | |
| 1034F | 1,258 | 906 | $0.00 | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 550 | 411 | $0.00 |
| 3075F | 2,045 | 1,777 | $0.00 | |
| D0120 | Periodic oral evaluation - established patient | 521 | 514 | $0.00 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 26 | 24 | $0.00 |
| 3074F | 8,893 | 7,111 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 2,845 | 711 | $0.00 |
| 90688 | 473 | 309 | $0.00 | |
| D0602 | 140 | 140 | $0.00 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 768 | 761 | $0.00 |
| D0603 | 726 | 725 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 235 | 235 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 604 | 598 | $0.00 |
| 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 | 109 | 94 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 309 | 308 | $0.00 |
| 1125F | 2,308 | 1,815 | $0.00 | |
| 1035F | 208 | 147 | $0.00 | |
| 90686 | 173 | 107 | $0.00 | |
| 85018 | 151 | 140 | $0.00 | |
| 99386 | 19 | 17 | $0.00 | |
| 90656 | 47 | 47 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 48 | 28 | $0.00 |
| 92227 | 24 | 15 | $0.00 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 41 | 41 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 23 | 23 | $0.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 13 | 12 | $0.00 |
| D4342 | 28 | 12 | $0.00 | |
| D1351 | Sealant - per tooth | 40 | 12 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 25 | 15 | $0.00 |