SPRING BRANCH COMMUNITY HEALTH CENTER
NPI: 1871022467
· CYPRESS, TX 77433
· Community Health Worker
· NPI assigned 06/07/2017
$115K
Total Medicaid Paid
Provider Details
| Authorized Official | TRUJILLO, MARLEN (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 06/07/2017 |
Related Entities
Other providers sharing the same authorized official: TRUJILLO, MARLEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
29 |
$4K |
| 2022 |
173 |
$27K |
| 2023 |
552 |
$67K |
| 2024 |
92 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
453 |
432 |
$104K |
| T1015 |
Clinic visit/encounter, all-inclusive |
56 |
50 |
$11K |
| D0603 |
|
238 |
236 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
44 |
14 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
27 |
27 |
$0.00 |
| D0145 |
Oral evaluation for a patient under three years of age |
13 |
12 |
$0.00 |