NPI: 1912612284 · MARION, IN 46952 · Federally Qualified Health Center (FQHC) · NPI assigned 01/20/2023
Authorized official GATES, GARY controls 20+ related entities in our dataset. Read more
| Authorized Official | GATES, GARY (RC MANAGER) |
| NPI Enumeration Date | 01/20/2023 |
Other providers sharing the same authorized official: GATES, GARY
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 733 | $27K |
| 2024 | 2,415 | $123K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 714 | 610 | $41K |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 288 | 251 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 516 | 465 | $22K |
| D0330 | Panoramic radiographic image | 339 | 295 | $11K |
| D0210 | Intraoral - complete series of radiographic images | 279 | 200 | $10K |
| D9999 | Unspecified adjunctive procedure, by report | 16 | 12 | $8K |
| D1206 | Topical application of fluoride varnish | 359 | 310 | $7K |
| D1120 | Prophylaxis - child | 174 | 147 | $7K |
| D1110 | Prophylaxis - adult | 113 | 101 | $6K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 93 | 85 | $5K |
| 99204 | Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 36 | 33 | $4K |
| D0140 | Limited oral evaluation - problem focused | 65 | 56 | $2K |
| D0120 | Periodic oral evaluation - established patient | 54 | 49 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 21 | 17 | $1K |
| D0274 | Bitewings - four radiographic images | 37 | 35 | $453.01 |
| 36415 | Collection of venous blood by venipuncture | 44 | 26 | $201.00 |