NPI: 1902065766 · FROSTPROOF, FL 33843 · General Practice Dentistry · NPI assigned 06/06/2008
Authorized official CLAUSSEN, ANN controls 20+ related entities in our dataset. Read more
| Authorized Official | CLAUSSEN, ANN (CEO) |
| Parent Organization | CENTRAL FLORIDA HEALTH CARE INC |
| NPI Enumeration Date | 06/06/2008 |
Other providers sharing the same authorized official: CLAUSSEN, ANN
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 477 | $7K |
| 2019 | 341 | $6K |
| 2020 | 3,926 | $49K |
| 2021 | 1,126 | $12K |
| 2022 | 1,771 | $18K |
| 2023 | 15 | $762.35 |
| 2024 | 32 | $263.03 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 381 | 379 | $15K |
| D1351 | Sealant - per tooth | 702 | 210 | $13K |
| D1120 | Prophylaxis - child | 279 | 279 | $9K |
| D0220 | Intraoral - periapical first radiographic image | 742 | 732 | $8K |
| D1110 | Prophylaxis - adult | 210 | 210 | $8K |
| D0120 | Periodic oral evaluation - established patient | 232 | 232 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 111 | 83 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 128 | 103 | $6K |
| D0274 | Bitewings - four radiographic images | 395 | 394 | $4K |
| D0330 | Panoramic radiographic image | 257 | 256 | $4K |
| D1206 | Topical application of fluoride varnish | 735 | 735 | $3K |
| D0140 | Limited oral evaluation - problem focused | 169 | 168 | $3K |
| D1999 | 41 | 41 | $2K | |
| D9999 | Unspecified adjunctive procedure, by report | 102 | 102 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 1,299 | 546 | $1K |
| D0999 | Unspecified diagnostic procedure, by report | 42 | 42 | $840.00 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15 | 14 | $762.35 |
| D1330 | 697 | 697 | $377.95 | |
| D0603 | 500 | 499 | $350.70 | |
| D0191 | 64 | 64 | $114.75 | |
| D1310 | 517 | 517 | $0.00 | |
| D1353 | 35 | 14 | $0.00 | |
| D0602 | 16 | 16 | $0.00 | |
| D0601 | 19 | 19 | $0.00 |