BEN ARCHER HEALTH CENTER
NPI: 1710903844
· TRUTH OR CONSEQUENCES, NM 87901
· Federally Qualified Health Center (FQHC)
· NPI assigned 07/14/2006
$1.47M
Total Medicaid Paid
Provider Details
| Authorized Official | GARAY, MARY ALICE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 07/14/2006 |
Related Entities
Other providers sharing the same authorized official: GARAY, MARY ALICE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,164 |
$223K |
| 2019 |
1,940 |
$357K |
| 2020 |
1,276 |
$223K |
| 2021 |
1,084 |
$198K |
| 2022 |
1,344 |
$226K |
| 2023 |
759 |
$153K |
| 2024 |
434 |
$93K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0999 |
Unspecified diagnostic procedure, by report |
6,544 |
5,689 |
$1.31M |
| D0140 |
Limited oral evaluation - problem focused |
776 |
709 |
$83K |
| D1110 |
Prophylaxis - adult |
299 |
283 |
$60K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
257 |
228 |
$16K |
| D0120 |
Periodic oral evaluation - established patient |
113 |
113 |
$6K |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$2K |