PROMISE HEALTHCARE NFP
NPI: 1952894180
· URBANA, IL 61801
· Federally Qualified Health Center (FQHC)
· NPI assigned 06/12/2018
Provider Details
| Authorized Official | GREENWALT, NANCY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 06/12/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
407 |
$25K |
| 2020 |
32 |
$4K |
| 2021 |
112 |
$6K |
| 2022 |
42 |
$988.92 |
| 2023 |
1,209 |
$31K |
| 2024 |
414 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,053 |
1,485 |
$77K |
| D0999 |
Unspecified diagnostic procedure, by report |
53 |
36 |
$6K |
| D1206 |
Topical application of fluoride varnish |
46 |
33 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$0.00 |
| 99173 |
|
14 |
12 |
$0.00 |
| 90734 |
|
21 |
16 |
$0.00 |