NPI: 1669861019 · ULYSSES, KS 67880 · Federally Qualified Health Center (FQHC) · NPI assigned 01/22/2015
| Authorized Official | CATCHPOLE, SCOTT (CEO) |
| NPI Enumeration Date | 01/22/2015 |
Other providers sharing the same authorized official: CATCHPOLE, SCOTT
| Provider | City | State | Total Paid |
|---|---|---|---|
| UNITED METHODIST WESTERN KANSAS MEXICAN AMERICAN MINISTRIES, INC. | GARDEN CITY | KS | $2.86M |
| UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES, INC. | GARDEN CITY | KS | $2.51M |
| UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES, INC. | GARDEN CITY | KS | $1.28M |
| UNITED METHODIST WESTERN KANSAS MEXICAN AMERICAN MINISTRIES,INC. | DODGE CITY | KS | $1.26M |
| UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES, INC. | DODGE CITY | KS | $1.19M |
| UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES, INC. | ULYSSES | KS | $491K |
| UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES, INC. | LIBERAL | KS | $299K |
| UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES, INC. | DODGE CITY | KS | $73K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,185 | $98K |
| 2019 | 1,815 | $220K |
| 2020 | 794 | $61K |
| 2021 | 798 | $56K |
| 2022 | 863 | $51K |
| 2023 | 712 | $41K |
| 2024 | 1,501 | $210K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 3,934 | 3,830 | $488K |
| D0150 | Comprehensive oral evaluation - new or established patient | 799 | 772 | $67K |
| D1120 | Prophylaxis - child | 580 | 551 | $60K |
| D1110 | Prophylaxis - adult | 339 | 330 | $59K |
| D0330 | Panoramic radiographic image | 286 | 276 | $45K |
| D0274 | Bitewings - four radiographic images | 376 | 361 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 38 | 26 | $5K |
| D0120 | Periodic oral evaluation - established patient | 284 | 271 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 20 | 12 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 17 | 12 | $1K |
| D0190 | 982 | 977 | $0.00 | |
| D0272 | Bitewings - two radiographic images | 13 | 13 | $0.00 |