NPI: 1689925729 · SANTA CLARITA, CA 91351 · Federally Qualified Health Center (FQHC) · NPI assigned 09/28/2012
Authorized official WYARD, KIMBERLY controls 20+ related entities in our dataset. Read more
| Authorized Official | WYARD, KIMBERLY (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 09/28/2012 |
Other providers sharing the same authorized official: WYARD, KIMBERLY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 8,435 | $1.31M |
| 2019 | 7,378 | $1.22M |
| 2020 | 4,735 | $846K |
| 2021 | 6,156 | $1.08M |
| 2022 | 2,759 | $394K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 18,798 | 17,818 | $3.87M |
| T1015 | Clinic visit/encounter, all-inclusive | 5,103 | 4,891 | $973K |
| D1120 | Prophylaxis - child | 1,166 | 1,145 | $9K |
| D1206 | Topical application of fluoride varnish | 762 | 744 | $5K |
| D0120 | Periodic oral evaluation - established patient | 450 | 434 | $2K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 15 | 13 | $331.00 |
| D0220 | Intraoral - periapical first radiographic image | 233 | 220 | $121.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 176 | 168 | $19.80 |
| D0603 | 56 | 50 | $15.00 | |
| D9993 | 13 | 13 | $0.00 | |
| D1330 | 2,678 | 2,544 | $0.00 | |
| D1310 | 13 | 13 | $0.00 |