NPI: 1871969964 · QUINCY, IL 62301 · Community/Behavioral Health Agency · NPI assigned 08/12/2015
Authorized official CONOVER, MARK controls 20+ related entities in our dataset. Read more
| Authorized Official | CONOVER, MARK (CHIEF REVENUE OFFICER) |
| NPI Enumeration Date | 08/12/2015 |
Other providers sharing the same authorized official: CONOVER, MARK
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 5,319 | $278K |
| 2019 | 6,014 | $181K |
| 2020 | 5,303 | $275K |
| 2021 | 2,445 | $167K |
| 2022 | 1,253 | $113K |
| 2023 | 657 | $65K |
| 2024 | 892 | $97K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 9,364 | 5,177 | $1.03M |
| D0999 | Unspecified diagnostic procedure, by report | 1,378 | 1,023 | $140K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3,714 | 2,357 | $2K |
| 90791 | Psychiatric diagnostic evaluation | 178 | 115 | $1K |
| 80305 | 2,568 | 1,407 | $1K | |
| T1040 | Medicaid certified community behavioral health clinic services, per diem | 15 | 12 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 15 | 15 | $336.00 |
| 81025 | 381 | 179 | $123.84 | |
| D0274 | Bitewings - four radiographic images | 103 | 101 | $0.00 |
| D0330 | Panoramic radiographic image | 173 | 168 | $0.00 |
| 90832 | Psychotherapy, 30 minutes with patient | 654 | 244 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 233 | 222 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 343 | 175 | $0.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 76 | 48 | $0.00 |
| D1120 | Prophylaxis - child | 144 | 138 | $0.00 |
| D1110 | Prophylaxis - adult | 14 | 14 | $0.00 |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 29 | 27 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1,086 | 912 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 119 | 113 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 198 | 192 | $0.00 |
| D0140 | Limited oral evaluation - problem focused | 371 | 336 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 29 | 29 | $0.00 |
| 90834 | Psychotherapy, 45 minutes with patient | 151 | 75 | $0.00 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 182 | 117 | $0.00 |
| D5899 | 67 | 50 | $0.00 | |
| 99385 | 72 | 72 | $0.00 | |
| D7140 | Extraction, erupted tooth or exposed root | 38 | 25 | $0.00 |
| D1206 | Topical application of fluoride varnish | 135 | 129 | $0.00 |
| D0120 | Periodic oral evaluation - established patient | 53 | 49 | $0.00 |