NPI: 1750378956 · WAUCHULA, FL 33873 · Federally Qualified Health Center (FQHC) · NPI assigned 10/03/2005
Authorized official CLAUSSEN, ANN controls 20+ related entities in our dataset. Read more
| Authorized Official | CLAUSSEN, ANN (CEO) |
| Parent Organization | CENTRAL FLORIDA HEALTH CARE INC |
| NPI Enumeration Date | 10/03/2005 |
Other providers sharing the same authorized official: CLAUSSEN, ANN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 570 | $4K |
| 2019 | 898 | $9K |
| 2020 | 58 | $500.85 |
| 2022 | 196 | $0.00 |
| 2023 | 377 | $0.00 |
| 2024 | 63 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 575 | 461 | $6K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 423 | 352 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 91 | 90 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | 43 | 24 | $992.00 |
| D0220 | Intraoral - periapical first radiographic image | 88 | 86 | $820.35 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 57 | 49 | $594.00 |
| D1206 | Topical application of fluoride varnish | 178 | 146 | $269.85 |
| 36415 | Collection of venous blood by venipuncture | 30 | 30 | $162.73 |
| D1330 | 267 | 219 | $134.13 | |
| D0140 | Limited oral evaluation - problem focused | 13 | 13 | $127.00 |
| D0274 | Bitewings - four radiographic images | 13 | 13 | $47.00 |
| D1310 | 43 | 42 | $0.00 | |
| D0120 | Periodic oral evaluation - established patient | 38 | 30 | $0.00 |
| D0601 | 81 | 60 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 92 | 33 | $0.00 |
| D0603 | 12 | 12 | $0.00 | |
| D1120 | Prophylaxis - child | 118 | 103 | $0.00 |