STATE OF TENNESSEE
NPI: 1760532444
· WOODBURY, TN 37190
· Public Health or Welfare Agency
· NPI assigned 01/12/2007
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official STEWART, TAMMY controls 14+ related entities in our dataset. Read more
Provider Details
| Authorized Official | STEWART, TAMMY (CFO) |
| NPI Enumeration Date | 01/12/2007 |
Related Entities
Other providers sharing the same authorized official: STEWART, TAMMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
907 |
$13K |
| 2019 |
765 |
$13K |
| 2020 |
133 |
$3K |
| 2021 |
139 |
$3K |
| 2022 |
116 |
$2K |
| 2023 |
121 |
$3K |
| 2024 |
16 |
$961.73 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
776 |
663 |
$27K |
| D1206 |
Topical application of fluoride varnish |
255 |
253 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
228 |
218 |
$2K |
| D0190 |
|
164 |
162 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$881.72 |
| D1120 |
Prophylaxis - child |
12 |
12 |
$409.56 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$341.60 |
| 90715 |
|
50 |
41 |
$220.89 |
| 90688 |
|
300 |
271 |
$200.00 |
| 90707 |
|
41 |
28 |
$192.09 |
| 90651 |
|
25 |
17 |
$184.85 |
| 90686 |
|
34 |
26 |
$0.00 |
| 90716 |
|
25 |
14 |
$0.00 |
| 90461 |
|
212 |
174 |
$0.00 |
| 90734 |
|
21 |
15 |
$0.00 |
| 90633 |
|
28 |
13 |
$0.00 |