TANANA CHIEFS CONFERENCE
NPI: 1801005137
· FAIRBANKS, AK 99701
· Urgent Care Clinic/Center
· NPI assigned 05/22/2007
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official BERGSTROM, JACOLINE controls 14+ related entities in our dataset. Read more
$0.00
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BERGSTROM, JACOLINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
101 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
27 |
27 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
20 |
20 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
14 |
13 |
$0.00 |
| D1330 |
|
12 |
12 |
$0.00 |
| D1120 |
Prophylaxis - child |
15 |
15 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$0.00 |