NPI: 1912903964 · HAYNESVILLE, LA 71038 · Federally Qualified Health Center (FQHC) · NPI assigned 06/23/2005
Authorized official WHITE, WILLIE controls 16+ related entities in our dataset. Read more
| Authorized Official | WHITE, WILLIE (CEO) |
| NPI Enumeration Date | 06/23/2005 |
Other providers sharing the same authorized official: WHITE, WILLIE
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 968 | $33K |
| 2019 | 767 | $48K |
| 2020 | 159 | $12K |
| 2021 | 521 | $27K |
| 2022 | 662 | $47K |
| 2023 | 66 | $10K |
| 2024 | 336 | $33K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1015 | Clinic visit/encounter, all-inclusive | 1,140 | 804 | $152K |
| D0999 | Unspecified diagnostic procedure, by report | 1,299 | 465 | $59K |
| D0150 | Comprehensive oral evaluation - new or established patient | 43 | 27 | $46.66 |
| D0220 | Intraoral - periapical first radiographic image | 24 | 12 | $14.47 |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 885 | 629 | $0.00 |
| D7140 | Extraction, erupted tooth or exposed root | 46 | 17 | $0.00 |
| D0210 | Intraoral - complete series of radiographic images | 12 | 12 | $0.00 |
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 14 | 12 | $0.00 |
| 1159F | 16 | 13 | $0.00 |