STATE OF TENNESSEE
NPI: 1942352554
· SPENCER, TN 38585
· Public Health or Welfare Agency
· NPI assigned 01/17/2007
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official STEWART, TAMMY controls 14+ related entities in our dataset. Read more
Provider Details
| Authorized Official | STEWART, TAMMY (CFO) |
| NPI Enumeration Date | 01/17/2007 |
Related Entities
Other providers sharing the same authorized official: STEWART, TAMMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
254 |
$2K |
| 2019 |
379 |
$6K |
| 2021 |
34 |
$135.00 |
| 2022 |
93 |
$790.10 |
| 2023 |
52 |
$837.48 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
276 |
241 |
$7K |
| 90688 |
|
253 |
195 |
$840.00 |
| D1206 |
Topical application of fluoride varnish |
38 |
38 |
$574.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
49 |
38 |
$478.79 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
24 |
24 |
$438.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
64 |
48 |
$422.85 |
| D1120 |
Prophylaxis - child |
13 |
13 |
$341.30 |
| D0190 |
|
13 |
13 |
$156.00 |
| 90686 |
|
42 |
42 |
$15.00 |
| 90461 |
|
17 |
13 |
$0.00 |
| 90674 |
|
23 |
19 |
$0.00 |