HEART OF KANSAS FAMILY HEALTH CARE, INC.
NPI: 1689169187
· GREAT BEND, KS 67530
· Federally Qualified Health Center (FQHC)
· NPI assigned 06/27/2018
Provider Details
| Authorized Official | NOKES, JYL (COO) |
| Parent Organization | HEART OF KANSAS FAMILY HEALTH CARE, INC. |
| NPI Enumeration Date | 06/27/2018 |
Related Entities
Other providers sharing the same authorized official: NOKES, JYL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
54 |
$2K |
| 2022 |
147 |
$10K |
| 2023 |
98 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1206 |
Topical application of fluoride varnish |
116 |
116 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
68 |
68 |
$4K |
| D1120 |
Prophylaxis - child |
42 |
42 |
$4K |
| D1110 |
Prophylaxis - adult |
27 |
27 |
$3K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$356.72 |
| D0190 |
|
34 |
34 |
$0.00 |