NPI: 1730166034 · COLORADO SPRINGS, CO 80917 · Federally Qualified Health Center (FQHC) · NPI assigned 12/28/2005
Authorized official SPILLANE, RYAN controls 20+ related entities in our dataset. Read more
| Authorized Official | SPILLANE, RYAN (INTERIM CHIEF FINANCIAL OFFICER) |
| Parent Organization | PEAK VISTA COMMUNITY HEALTH CENTERS |
| NPI Enumeration Date | 12/28/2005 |
Other providers sharing the same authorized official: SPILLANE, RYAN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 9,373 | $1.66M |
| 2019 | 19,650 | $3.25M |
| 2020 | 11,751 | $1.95M |
| 2021 | 6,857 | $251K |
| 2022 | 1,354 | $73K |
| 2023 | 192 | $17K |
| 2024 | 239 | $40K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 21,119 | 14,773 | $5.58M |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 801 | 708 | $162K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,016 | 526 | $130K |
| D1110 | Prophylaxis - adult | 2,152 | 1,771 | $130K |
| D1206 | Topical application of fluoride varnish | 3,881 | 3,124 | $128K |
| 0011A | 3,251 | 3,213 | $116K | |
| 0012A | 2,876 | 2,830 | $109K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1,885 | 1,557 | $107K |
| D7140 | Extraction, erupted tooth or exposed root | 567 | 181 | $83K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 727 | 340 | $75K |
| D0120 | Periodic oral evaluation - established patient | 2,484 | 1,996 | $74K |
| D0145 | Oral evaluation for a patient under three years of age | 1,170 | 873 | $65K |
| D0210 | Intraoral - complete series of radiographic images | 593 | 518 | $58K |
| H1005 | Prenatal care, at-risk enhanced service package (includes h1001-h1004) | 142 | 102 | $52K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 227 | 219 | $41K |
| D0140 | Limited oral evaluation - problem focused | 526 | 479 | $38K |
| D4910 | 218 | 182 | $31K | |
| D1120 | Prophylaxis - child | 782 | 621 | $31K |
| D0190 | 685 | 542 | $27K | |
| D0274 | Bitewings - four radiographic images | 638 | 508 | $23K |
| 0072A | 349 | 346 | $21K | |
| 0064A | 500 | 490 | $19K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | 147 | 74 | $17K |
| D0220 | Intraoral - periapical first radiographic image | 730 | 644 | $16K |
| 0071A | 228 | 224 | $13K | |
| 0031A | 310 | 299 | $11K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 83 | 52 | $11K |
| 0124A | 169 | 165 | $10K | |
| D4342 | 56 | 25 | $10K | |
| 0051A | 148 | 141 | $9K | |
| 0002A | 97 | 97 | $5K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 32 | 13 | $5K |
| 0134A | 77 | 76 | $4K | |
| 0052A | 70 | 70 | $4K | |
| 0013A | 108 | 108 | $4K | |
| 0001A | 85 | 85 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13 | 13 | $3K |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 46 | 13 | $3K |
| D1351 | Sealant - per tooth | 39 | 12 | $2K |
| D0240 | 29 | 29 | $1K | |
| 0034A | 27 | 27 | $1K | |
| 90661 | 28 | 28 | $843.74 | |
| 0004A | 21 | 21 | $823.60 | |
| 0054A | 18 | 18 | $658.88 | |
| D0272 | Bitewings - two radiographic images | 12 | 12 | $588.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 43 | 42 | $414.50 |
| 90686 | 14 | 14 | $329.84 | |
| 59025 | Fetal non-stress test | 116 | 39 | $0.00 |
| 80305 | 68 | 34 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 13 | 13 | $0.00 |