NPI: 1689366759 · MEDFORD, WI 54451 · Federally Qualified Health Center (FQHC) · NPI assigned 05/25/2023
Authorized official DARRACOTT, KYMBERLI controls 11+ related entities in our dataset. Read more
| Authorized Official | DARRACOTT, KYMBERLI (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 05/25/2023 |
Other providers sharing the same authorized official: DARRACOTT, KYMBERLI
| Provider | City | State | Total Paid |
|---|---|---|---|
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | CHIPPEWA FALLS | WI | $8.74M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | MENOMONIE | WI | $5.83M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | RICE LAKE | WI | $3.75M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | LADYSMITH | WI | $3.72M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | MARSHFIELD | WI | $3.41M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | RHINELANDER | WI | $2.72M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | NEILLSVILLE | WI | $1.86M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | BLACK RIVER FALLS | WI | $1.63M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | PARK FALLS | WI | $1.52M |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | MINOCQUA | WI | $110K |
| FAMILY HEALTH CENTER OF MARSHFIELD, INC. | MARSHFIELD | WI | $40K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 5,387 | $122K |
| 2024 | 14,277 | $2.22M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 4,410 | 3,858 | $2.22M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 860 | 559 | $25K |
| D1110 | Prophylaxis - adult | 1,906 | 1,784 | $19K |
| D0120 | Periodic oral evaluation - established patient | 2,841 | 2,632 | $15K |
| D1206 | Topical application of fluoride varnish | 3,246 | 3,015 | $15K |
| D1120 | Prophylaxis - child | 1,325 | 1,219 | $10K |
| D0210 | Intraoral - complete series of radiographic images | 480 | 447 | $10K |
| D0140 | Limited oral evaluation - problem focused | 847 | 759 | $7K |
| D0274 | Bitewings - four radiographic images | 1,011 | 936 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 354 | 182 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 341 | 324 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 687 | 618 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 99 | 67 | $2K |
| D1351 | Sealant - per tooth | 675 | 177 | $2K |
| D0272 | Bitewings - two radiographic images | 304 | 287 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 106 | 79 | $715.44 |
| D1354 | 87 | 31 | $302.34 | |
| D5899 | 56 | 32 | $0.00 | |
| D4910 | 29 | 29 | $0.00 |