NPI: 1710517339 · ASHLAND, OH 44805 · General Practice Dentistry · NPI assigned 01/23/2020
Authorized official ANDERSON, PEGGY controls 15+ related entities in our dataset. Read more
| Authorized Official | ANDERSON, PEGGY (CEO) |
| NPI Enumeration Date | 01/23/2020 |
Other providers sharing the same authorized official: ANDERSON, PEGGY
| Provider | City | State | Total Paid |
|---|---|---|---|
| THIRD STREET COMMUNITY CLINIC, INC. | MANSFIELD | OH | $12.93M |
| THIRD STREET COMMUNITY CLINIC, INC. | MANSFIELD | OH | $5.21M |
| THIRD STREET COMMUNITY CLINIC INC | SHELBY | OH | $2.81M |
| THIRD STREET COMMUNITY CLINIC INC | MANSFIELD | OH | $2.80M |
| THIRD STREET COMMUNITY CLINIC, INC | MANSFIELD | OH | $1.39M |
| THIRD STREET COMMUNITY CLINIC, INC. | ONTARIO | OH | $774K |
| THIRD STREET DENTAL MOBILE VAN | MANSFIELD | OH | $746K |
| THIRD STREET COMMUNITY CLINIC, INC | BUCYRUS | OH | $593K |
| THIRD STREET COMMUNITY CLINIC, INC. | BUCYRUS | OH | $400K |
| THIRD STREET COMMUNITY CLINIC, INC. | ASHLAND | OH | $378K |
| THIRD STREET COMMUNITY CLINIC, INC. | MANSFIELD | OH | $306K |
| ALLIANCE OB GYN SPECIALISTS PLLC | DENTON | TX | $297K |
| THIRD STREET COMMUNITY CLINIC INC | MARION | OH | $234K |
| THIRD STREET COMMUNITY CLINIC, INC | MANSFIELD | OH | $54K |
| SURGICAL CAREGIVERS OF FORT WORTH LLC | FORT WORTH | TX | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 184 | $6K |
| 2021 | 4,188 | $117K |
| 2022 | 6,081 | $138K |
| 2023 | 6,144 | $110K |
| 2024 | 3,043 | $91K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 5,037 | 3,688 | $302K |
| D1110 | Prophylaxis - adult | 2,338 | 1,416 | $36K |
| D7140 | Extraction, erupted tooth or exposed root | 1,125 | 518 | $29K |
| D0330 | Panoramic radiographic image | 1,162 | 804 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,100 | 707 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 433 | 223 | $11K |
| D0140 | Limited oral evaluation - problem focused | 1,159 | 740 | $11K |
| D0274 | Bitewings - four radiographic images | 1,379 | 910 | $9K |
| D1206 | Topical application of fluoride varnish | 1,002 | 579 | $8K |
| D1120 | Prophylaxis - child | 754 | 455 | $8K |
| D0120 | Periodic oral evaluation - established patient | 781 | 461 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 281 | 136 | $7K |
| D0220 | Intraoral - periapical first radiographic image | 1,442 | 890 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 248 | 151 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 186 | 38 | $136.50 |
| D0272 | Bitewings - two radiographic images | 17 | 12 | $52.50 |
| D0603 | 65 | 61 | $0.00 | |
| D1330 | 165 | 142 | $0.00 | |
| D0601 | 48 | 40 | $0.00 | |
| D1999 | 918 | 657 | $0.00 |