CHARLOTTE COMMUNITY HEALTH CLINIC, INC.
NPI: 1902251275
· CHARLOTTE, NC 28208
· Federally Qualified Health Center (FQHC)
· NPI assigned 04/25/2016
$596K
Total Medicaid Paid
Provider Details
| Authorized Official | ALLISON, CAROLYN (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 04/25/2016 |
Related Entities
Other providers sharing the same authorized official: ALLISON, CAROLYN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
3,035 |
$19K |
| 2022 |
17,540 |
$84K |
| 2023 |
32,377 |
$167K |
| 2024 |
49,962 |
$326K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
102,855 |
47,954 |
$594K |
| D1120 |
Prophylaxis - child |
28 |
27 |
$683.04 |
| D1206 |
Topical application of fluoride varnish |
17 |
17 |
$268.48 |
| D0272 |
Bitewings - two radiographic images |
14 |
12 |
$230.44 |