CENTERVILLE CLINICS, INC.
NPI: 1790808962
· CONNELLSVILLE, PA 15425
· Federally Qualified Health Center (FQHC)
· NPI assigned 04/10/2007
Provider Details
| Authorized Official | NICCOLAI, BARRY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 04/10/2007 |
Related Entities
Other providers sharing the same authorized official: NICCOLAI, BARRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
91 |
$8K |
| 2021 |
275 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
295 |
275 |
$30K |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$0.00 |
| D1999 |
|
47 |
47 |
$0.00 |