NPI: 1790050862 · SPOKANE, WA 99202 · Federally Qualified Health Center (FQHC) · NPI assigned 03/21/2012
Authorized official WILSON, AARON controls 20+ related entities in our dataset. Read more
| Authorized Official | WILSON, AARON (CEO) |
| NPI Enumeration Date | 03/21/2012 |
Other providers sharing the same authorized official: WILSON, AARON
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,209 | $114K |
| 2021 | 13,583 | $1.18M |
| 2022 | 18,086 | $1.63M |
| 2023 | 17,205 | $2.37M |
| 2024 | 15,848 | $2.91M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 27,550 | 24,225 | $7.14M |
| D0140 | Limited oral evaluation - problem focused | 5,002 | 4,813 | $153K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3,529 | 3,417 | $138K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1,434 | 1,273 | $111K |
| D0210 | Intraoral - complete series of radiographic images | 2,622 | 2,540 | $107K |
| D4341 | 2,351 | 1,587 | $100K | |
| D0220 | Intraoral - periapical first radiographic image | 6,589 | 6,330 | $71K |
| D1110 | Prophylaxis - adult | 1,402 | 1,380 | $67K |
| D7140 | Extraction, erupted tooth or exposed root | 1,098 | 601 | $59K |
| D1206 | Topical application of fluoride varnish | 2,340 | 2,307 | $45K |
| D0120 | Periodic oral evaluation - established patient | 1,268 | 1,249 | $45K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 296 | 276 | $35K |
| D0330 | Panoramic radiographic image | 945 | 914 | $33K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 495 | 417 | $27K |
| D0270 | 2,209 | 2,153 | $19K | |
| D0274 | Bitewings - four radiographic images | 1,173 | 1,150 | $16K |
| D0230 | Intraoral - periapical each additional radiographic image | 5,036 | 2,368 | $12K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 99 | 90 | $11K |
| D4910 | 270 | 268 | $10K | |
| D0999 | Unspecified diagnostic procedure, by report | 28 | 24 | $5K |
| D2394 | 12 | 12 | $2K | |
| D1999 | 81 | 79 | $780.00 | |
| D2331 | 13 | 12 | $628.42 | |
| D4346 | 12 | 12 | $480.00 | |
| D9992 | 21 | 21 | $315.00 | |
| D1354 | 56 | 26 | $264.00 |