KEYSTONE RURAL HEALTH CONSORTIA, INC.
NPI: 1881146884
· KERSEY, PA 15846
· Federally Qualified Health Center (FQHC)
· NPI assigned 10/26/2016
$762K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BENNARDI, KRISTIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
779 |
$93K |
| 2019 |
802 |
$91K |
| 2020 |
2,150 |
$191K |
| 2021 |
1,559 |
$150K |
| 2023 |
1,693 |
$190K |
| 2024 |
505 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,711 |
3,481 |
$762K |
| D0210 |
Intraoral - complete series of radiographic images |
132 |
130 |
$69.00 |
| D1120 |
Prophylaxis - child |
151 |
151 |
$0.00 |
| D1110 |
Prophylaxis - adult |
1,015 |
1,004 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
149 |
146 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
143 |
142 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
354 |
351 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
454 |
454 |
$0.00 |
| D1330 |
|
374 |
372 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
879 |
870 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
114 |
90 |
$0.00 |
| D0272 |
Bitewings - two radiographic images |
12 |
12 |
$0.00 |