NPI: 1841992617 · NEWLAND, NC 28657 · Federally Qualified Health Center (FQHC) · NPI assigned 03/17/2023
| Authorized Official | SALTHOUSE, ALICE (CEO) |
| NPI Enumeration Date | 03/17/2023 |
Other providers sharing the same authorized official: SALTHOUSE, ALICE
| Provider | City | State | Total Paid |
|---|---|---|---|
| HIGH COUNTRY COMMUNITY HEALTH | ELKIN | NC | $6.61M |
| HIGH COUNTRY COMMUNITY HEALTH | MORGANTON | NC | $3.13M |
| HIGH COUNTRY COMMUNITY HEALTH | BOONE | NC | $2.86M |
| HIGH COUNTRY COMMUNITY HEALTH | NEWLAND | NC | $2.11M |
| HIGH COUNTRY COMMUNITY HEALTH | CONNELLY SPRINGS | NC | $1.42M |
| HIGH COUNTRY COMMUNITY HEALTH | BOONE | NC | $988K |
| HIGH COUNTRY COMMUNITY HEALTH | BOONE | NC | $70K |
| HIGH COUNTRY COMMUNITY HEALTH | MORGANTON | NC | $7K |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 73 | $2K |
| 2024 | 1,195 | $32K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0120 | Periodic oral evaluation - established patient | 305 | 298 | $8K |
| D0330 | Panoramic radiographic image | 109 | 104 | $6K |
| D0140 | Limited oral evaluation - problem focused | 138 | 123 | $4K |
| D1110 | Prophylaxis - adult | 109 | 108 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 187 | 180 | $3K |
| D1120 | Prophylaxis - child | 76 | 73 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19 | 12 | $2K |
| D0274 | Bitewings - four radiographic images | 59 | 56 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 108 | 99 | $2K |
| D0272 | Bitewings - two radiographic images | 34 | 33 | $619.20 |
| 99199 | Unlisted special service, procedure or report | 124 | 124 | $315.00 |