NPI: 1790116911 · WAUCHULA, FL 33873 · General Practice Dentistry · NPI assigned 12/13/2013
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 | 12/13/2013 |
Other providers sharing the same authorized official: CLAUSSEN, ANN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 225 | $23K |
| 2019 | 324 | $13K |
| 2020 | 2,796 | $56K |
| 2021 | 1,843 | $68K |
| 2022 | 18,334 | $181K |
| 2023 | 11,924 | $264K |
| 2024 | 8,288 | $127K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H1000 | Prenatal care, at-risk assessment | 2,703 | 1,399 | $216K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7,366 | 5,557 | $201K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2,353 | 1,703 | $55K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 727 | 496 | $32K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 621 | 500 | $29K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 664 | 492 | $26K |
| D1120 | Prophylaxis - child | 934 | 884 | $24K |
| D1110 | Prophylaxis - adult | 883 | 842 | $23K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 321 | 264 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 323 | 237 | $13K |
| 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 | 1,604 | 1,122 | $13K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1,603 | 1,186 | $11K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 443 | 304 | $11K |
| D0274 | Bitewings - four radiographic images | 1,002 | 960 | $8K |
| D0120 | Periodic oral evaluation - established patient | 616 | 583 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 512 | 494 | $7K |
| 87428 | 294 | 276 | $6K | |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 392 | 314 | $5K |
| D1206 | Topical application of fluoride varnish | 2,485 | 2,372 | $4K |
| D0330 | Panoramic radiographic image | 240 | 231 | $4K |
| D0140 | Limited oral evaluation - problem focused | 302 | 287 | $3K |
| 90670 | 287 | 205 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 28 | 24 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,383 | 1,217 | $2K |
| D1330 | 2,507 | 2,393 | $1K | |
| 59430 | 31 | 26 | $1K | |
| D0220 | Intraoral - periapical first radiographic image | 1,716 | 1,630 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 271 | 225 | $1K |
| 3074F | 958 | 628 | $1K | |
| D1351 | Sealant - per tooth | 134 | 40 | $1K |
| 87807 | 171 | 149 | $513.80 | |
| 90651 | 107 | 59 | $410.40 | |
| 90461 | 204 | 161 | $384.62 | |
| 81003 | 857 | 224 | $262.74 | |
| 99188 | 50 | 32 | $191.05 | |
| 85018 | 289 | 211 | $141.98 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 178 | 63 | $137.50 |
| D7140 | Extraction, erupted tooth or exposed root | 16 | 12 | $134.26 |
| 81025 | 78 | 52 | $134.18 | |
| 90686 | 268 | 208 | $113.76 | |
| D0603 | 645 | 623 | $53.80 | |
| 90656 | 36 | 36 | $50.00 | |
| 3044F | 232 | 187 | $40.00 | |
| 3075F | 100 | 58 | $25.00 | |
| 90633 | 42 | 24 | $25.00 | |
| D0191 | 58 | 58 | $10.45 | |
| D1310 | 1,881 | 1,809 | $9.00 | |
| D0602 | 187 | 171 | $0.09 | |
| D0601 | 145 | 141 | $0.01 | |
| 92551 | 346 | 136 | $0.00 | |
| 3008F | 1,776 | 1,212 | $0.00 | |
| 1220F | 358 | 146 | $0.00 | |
| 90723 | 156 | 128 | $0.00 | |
| 4010F | 329 | 207 | $0.00 | |
| 3079F | 303 | 198 | $0.00 | |
| 90677 | 25 | 25 | $0.00 | |
| 90647 | 159 | 120 | $0.00 | |
| 3351F | 114 | 60 | $0.00 | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 41 | 17 | $0.00 |
| 90734 | 32 | 14 | $0.00 | |
| 3078F | 651 | 354 | $0.00 | |
| 1159F | 62 | 13 | $0.00 | |
| 0502F | 73 | 51 | $0.00 | |
| 1160F | 62 | 13 | $0.00 |