NPI: 1669118774 · MUNCIE, IN 47304 · Federally Qualified Health Center (FQHC) · NPI assigned 05/11/2022
Authorized official GATES, GARY controls 20+ related entities in our dataset. Read more
| Authorized Official | GATES, GARY (REVENUE CYCLE MANAGER) |
| NPI Enumeration Date | 05/11/2022 |
Other providers sharing the same authorized official: GATES, GARY
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 1,736 | $61K |
| 2024 | 3,356 | $159K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9999 | Unspecified adjunctive procedure, by report | 3,083 | 2,292 | $150K |
| D0150 | Comprehensive oral evaluation - new or established patient | 604 | 532 | $19K |
| D0210 | Intraoral - complete series of radiographic images | 366 | 279 | $15K |
| D1110 | Prophylaxis - adult | 334 | 295 | $13K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 119 | 79 | $8K |
| D0140 | Limited oral evaluation - problem focused | 150 | 129 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 43 | 31 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | 23 | 12 | $2K |
| D0120 | Periodic oral evaluation - established patient | 103 | 93 | $2K |
| D0330 | Panoramic radiographic image | 55 | 45 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 128 | 112 | $1K |
| D1206 | Topical application of fluoride varnish | 65 | 57 | $986.19 |
| D0274 | Bitewings - four radiographic images | 19 | 13 | $257.32 |