NPI: 1770678211 · ELLINGTON, MO 63638 · Federally Qualified Health Center (FQHC) · NPI assigned 10/03/2006
Authorized official WHITE, KAREN controls 20+ related entities in our dataset. Read more
| Authorized Official | WHITE, KAREN (CEO) |
| Parent Organization | BIG SPRINGS MEDICAL ASSOCIATION |
| NPI Enumeration Date | 10/03/2006 |
Other providers sharing the same authorized official: WHITE, KAREN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 652 | $92K |
| 2019 | 901 | $131K |
| 2020 | 1,238 | $115K |
| 2021 | 862 | $102K |
| 2023 | 12 | $864.12 |
| 2024 | 36 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 1,902 | 482 | $323K |
| D0330 | Panoramic radiographic image | 257 | 254 | $29K |
| D0140 | Limited oral evaluation - problem focused | 283 | 243 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 662 | 572 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 178 | 176 | $17K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 50 | 31 | $13K |
| D0274 | Bitewings - four radiographic images | 202 | 179 | $12K |
| D1110 | Prophylaxis - adult | 146 | 125 | $12K |
| D9996 | 21 | 17 | $323.84 |