NPI: 1821349309 · WEST MILFORD, WV 26451 · Federally Qualified Health Center (FQHC) · NPI assigned 09/25/2012
Authorized official POTASNIK, DORA controls 20+ related entities in our dataset. Read more
| Authorized Official | POTASNIK, DORA (CREDENTIALING COORDINATOR) |
| Parent Organization | COMMUNITY CARE OF WEST VIRGINIA, INC. |
| NPI Enumeration Date | 09/25/2012 |
Other providers sharing the same authorized official: POTASNIK, DORA
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 29 | $2K |
| 2019 | 26 | $72.00 |
| 2023 | 34 | $202.44 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 17 | 16 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12 | 12 | $456.46 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 30 | 30 | $274.44 |
| 90686 | 17 | 17 | $0.00 | |
| 90656 | 13 | 13 | $0.00 |