COMMUNITY HEALTH CTR OF CENTRAL MISSOURI
NPI: 1649622341
· JEFFERSON CITY, MO 65109
· Dentist
· NPI assigned 07/06/2016
$205K
Total Medicaid Paid
Provider Details
| Authorized Official | BARNETT, TOBY (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 07/06/2016 |
Related Entities
Other providers sharing the same authorized official: BARNETT, TOBY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
595 |
$36K |
| 2019 |
486 |
$42K |
| 2020 |
294 |
$20K |
| 2021 |
408 |
$35K |
| 2022 |
761 |
$71K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
892 |
873 |
$60K |
| D1110 |
Prophylaxis - adult |
624 |
612 |
$59K |
| D9420 |
|
97 |
96 |
$31K |
| D9310 |
|
160 |
154 |
$19K |
| D0140 |
Limited oral evaluation - problem focused |
131 |
117 |
$10K |
| D0230 |
Intraoral - periapical each additional radiographic image |
236 |
15 |
$6K |
| D0120 |
Periodic oral evaluation - established patient |
109 |
108 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
203 |
189 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
66 |
65 |
$6K |
| D0171 |
|
26 |
26 |
$2K |