RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC.
NPI: 1639222144
· SAN JACINTO, CA 92583
· Federally Qualified Health Center (FQHC)
· NPI assigned 01/19/2007
$3.30M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: THOMSEN, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,017 |
$420K |
| 2019 |
990 |
$421K |
| 2020 |
540 |
$207K |
| 2021 |
1,115 |
$466K |
| 2022 |
1,162 |
$538K |
| 2023 |
1,631 |
$583K |
| 2024 |
1,826 |
$668K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 00003 |
Internal/system code - not a standard HCPCS code |
5,852 |
4,675 |
$3.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
93 |
90 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
23 |
$12K |
| D0220 |
Intraoral - periapical first radiographic image |
818 |
790 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
144 |
138 |
$0.00 |
| D1999 |
|
27 |
26 |
$0.00 |
| D1110 |
Prophylaxis - adult |
46 |
40 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
760 |
462 |
$0.00 |
| D1320 |
|
25 |
25 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
438 |
430 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
15 |
14 |
$0.00 |
| D1330 |
|
36 |
30 |
$0.00 |