NPI: 1871889337 · CHAPARRAL, NM 88081 · Federally Qualified Health Center (FQHC) · NPI assigned 06/23/2011
Authorized official MEDINA, VIRGIL controls 18+ related entities in our dataset. Read more
| Authorized Official | MEDINA, VIRGIL (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 06/23/2011 |
Other providers sharing the same authorized official: MEDINA, VIRGIL
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 98 | $16K |
| 2019 | 1,197 | $142K |
| 2020 | 1,273 | $221K |
| 2021 | 1,009 | $177K |
| 2022 | 1,148 | $185K |
| 2023 | 1,069 | $181K |
| 2024 | 781 | $138K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0999 | Unspecified diagnostic procedure, by report | 5,256 | 4,337 | $1.06M |
| D0230 | Intraoral - periapical each additional radiographic image | 336 | 324 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 129 | 129 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 12 | 12 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 656 | 648 | $0.00 |
| D0274 | Bitewings - four radiographic images | 174 | 174 | $0.00 |
| D1120 | Prophylaxis - child | 12 | 12 | $0.00 |