NPI: 1790717080 · JACKSON, MS 39213 · Federally Qualified Health Center (FQHC) · NPI assigned 07/07/2006
Authorized official CHAPMAN, JASMIN controls 20+ related entities in our dataset. Read more
| Authorized Official | CHAPMAN, JASMIN (CEO) |
| Parent Organization | CENTRAL MISSISSIPPI CIVIC IMPROVEMENT ASSOCIATION |
| NPI Enumeration Date | 07/07/2006 |
Other providers sharing the same authorized official: CHAPMAN, JASMIN
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 317 | $24K |
| 2020 | 359 | $26K |
| 2021 | 332 | $12K |
| 2022 | 288 | $12K |
| 2023 | 508 | $12K |
| 2024 | 341 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 649 | 561 | $44K |
| D1120 | Prophylaxis - child | 498 | 433 | $20K |
| D0140 | Limited oral evaluation - problem focused | 171 | 151 | $15K |
| D1206 | Topical application of fluoride varnish | 309 | 260 | $8K |
| D0330 | Panoramic radiographic image | 307 | 261 | $8K |
| D1351 | Sealant - per tooth | 20 | 16 | $2K |
| D0120 | Periodic oral evaluation - established patient | 89 | 69 | $1K |
| D1110 | Prophylaxis - adult | 102 | 83 | $163.30 |