SEA MAR COMMUNITY HEALTH CENTERS
NPI: 1922735273
· VANCOUVER, WA 98661
· Dental Clinic/Center
· NPI assigned 08/05/2022
Provider Details
| Authorized Official | FOX, STEPHANIE (CREDENTIALING SUPERVISOR) |
| NPI Enumeration Date | 08/05/2022 |
Related Entities
Other providers sharing the same authorized official: FOX, STEPHANIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
856 |
$0.00 |
| 2023 |
3,529 |
$2K |
| 2024 |
1,235 |
$66K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
463 |
441 |
$44K |
| D1206 |
Topical application of fluoride varnish |
1,899 |
1,881 |
$12K |
| D9999 |
Unspecified adjunctive procedure, by report |
693 |
685 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
273 |
272 |
$3K |
| D1120 |
Prophylaxis - child |
247 |
246 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
43 |
43 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
144 |
139 |
$18.04 |
| D0230 |
Intraoral - periapical each additional radiographic image |
585 |
131 |
$14.22 |
| D0272 |
Bitewings - two radiographic images |
96 |
96 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
17 |
17 |
$0.00 |
| D0190 |
|
1,160 |
1,149 |
$0.00 |