CENTERVILLE CLINICS, INC.
NPI: 1730300971
· WASHINGTON, PA 15301
· Federally Qualified Health Center (FQHC)
· NPI assigned 05/02/2007
$2.94M
Total Medicaid Paid
Provider Details
| Authorized Official | MARTOS, PATTY (DIRECTOR PERSONNEL FINANCE) |
| NPI Enumeration Date | 05/02/2007 |
Related Entities
Other providers sharing the same authorized official: MARTOS, PATTY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
170 |
$18K |
| 2020 |
1,962 |
$205K |
| 2021 |
5,323 |
$652K |
| 2022 |
5,166 |
$685K |
| 2023 |
5,385 |
$709K |
| 2024 |
4,392 |
$670K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
19,865 |
15,670 |
$2.94M |
| 3008F |
|
646 |
596 |
$0.00 |
| 3074F |
|
242 |
226 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
184 |
175 |
$0.00 |
| 1034F |
|
41 |
38 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
124 |
124 |
$0.00 |
| 1031F |
|
88 |
85 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
75 |
75 |
$0.00 |
| 1000F |
|
13 |
12 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
20 |
20 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| 3078F |
|
188 |
179 |
$0.00 |
| 1159F |
|
627 |
579 |
$0.00 |
| D1110 |
Prophylaxis - adult |
115 |
115 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
71 |
71 |
$0.00 |
| 96160 |
|
13 |
12 |
$0.00 |
| D1999 |
|
53 |
47 |
$0.00 |
| D1120 |
Prophylaxis - child |
21 |
21 |
$0.00 |