FAMILY HEALTH CENTERS

NPI: 1871904649 · OKANOGAN, WA 98849 · Dental Clinic/Center · NPI assigned 05/15/2014

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official HERNANDEZ, JESUS controls 13+ related entities in our dataset. Read more

$262K

Total Medicaid Paid

2,092

Total Claims

1,815

Beneficiaries

Codes Billed

2018-01

First Month

2020-04

Last Month

Provider Details

Authorized Official	HERNANDEZ, JESUS (CEO)
NPI Enumeration Date	05/15/2014

Other providers sharing the same authorized official: HERNANDEZ, JESUS

Provider	City	State	Total Paid
FAMILY HEALTH CENTERS DENTAL	OKANOGAN	WA	$8.60M
FAMILY HEALTH CENTERS	BREWSTER	WA	$4.30M
FAMILY HEALTH CENTERS	OROVILLE	WA	$4.02M
FAMILY HEALTH CENTERS	BRIDGEPORT	WA	$2.80M
FAMILY HEALTH CENTERS	OKANOGAN	WA	$2.57M
HDEZ MEDICAL CENTER, INC	MIAMI	FL	$567K
FAMILY HEALTH CENTERS	OMAK	WA	$361K
FAMILY HEALTH CENTERS	TONASKET	WA	$59K
FAMILY HEALTH CENTERS	TWISP	WA	$58K
FAMILY HEALTH CENTERS	BRIDGEPORT	WA	$53K
FAMILY HEALTH CENTERS	BREWSTER	WA	$43K
FAMILY HEALTH CENTERS	BREWSTER	WA	$40K
FAMILY HEALTH CENTERS	OKANOGAN	WA	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
T1015	Clinic visit/encounter, all-inclusive	1,465	1,210	$251K
D0140	Limited oral evaluation - problem focused	123	116	$2K
D0150	Comprehensive oral evaluation - new or established patient	89	86	$2K
D0120	Periodic oral evaluation - established patient	86	86	$2K
D1120	Prophylaxis - child	76	76	$2K
D0220	Intraoral - periapical first radiographic image	139	134	$900.84
D2391	Resin-based composite - one surface, posterior, primary or permanent	19	12	$613.69
D1206	Topical application of fluoride varnish	32	32	$489.54
D1208	Topical application of fluoride, excluding varnish	34	34	$470.82
D0210	Intraoral - complete series of radiographic images	15	15	$418.60
D0274	Bitewings - four radiographic images	14	14	$149.10