STATE OF TENNESSEE
NPI: 1679611404
· WARTBURG, TN 37887
· Public Health or Welfare Agency
· NPI assigned 02/02/2007
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official SHARP, MARIANNE controls 14+ related entities in our dataset. Read more
Provider Details
| Authorized Official | SHARP, MARIANNE (REGIONAL ACCOUNTANT) |
| NPI Enumeration Date | 02/02/2007 |
Related Entities
Other providers sharing the same authorized official: SHARP, MARIANNE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
444 |
$6K |
| 2019 |
864 |
$15K |
| 2020 |
338 |
$6K |
| 2021 |
81 |
$2K |
| 2022 |
195 |
$5K |
| 2023 |
246 |
$4K |
| 2024 |
48 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
774 |
744 |
$31K |
| D1206 |
Topical application of fluoride varnish |
191 |
191 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
226 |
216 |
$2K |
| D0190 |
|
191 |
191 |
$2K |
| 99401 |
|
31 |
27 |
$813.49 |
| 90651 |
|
59 |
58 |
$369.70 |
| 90707 |
|
41 |
39 |
$101.68 |
| 90686 |
|
154 |
154 |
$55.00 |
| 90688 |
|
48 |
46 |
$15.00 |
| 90461 |
|
353 |
336 |
$0.00 |
| 90734 |
|
42 |
41 |
$0.00 |
| 90715 |
|
49 |
49 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90716 |
|
26 |
25 |
$0.00 |
| 90619 |
|
19 |
19 |
$0.00 |