STATE OF TENNESSEE
NPI: 1962549808
· BENTON, TN 37307
· Public Health or Welfare Agency
· NPI assigned 01/31/2007
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MCCARTHY, RICHARD controls 12+ related entities in our dataset. Read more
Provider Details
| Authorized Official | MCCARTHY, RICHARD (ACCOUNTING MANAGER) |
| NPI Enumeration Date | 01/31/2007 |
Related Entities
Other providers sharing the same authorized official: MCCARTHY, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
427 |
$7K |
| 2019 |
622 |
$12K |
| 2020 |
51 |
$1K |
| 2021 |
96 |
$2K |
| 2022 |
152 |
$4K |
| 2023 |
147 |
$3K |
| 2024 |
74 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
749 |
708 |
$25K |
| D1206 |
Topical application of fluoride varnish |
58 |
58 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
14 |
$1K |
| 99401 |
|
39 |
26 |
$918.66 |
| D0190 |
|
58 |
58 |
$624.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
38 |
37 |
$515.13 |
| 90651 |
|
49 |
45 |
$187.26 |
| 90686 |
|
236 |
230 |
$155.00 |
| 92551 |
|
21 |
20 |
$140.03 |
| 96127 |
|
21 |
19 |
$79.31 |
| 90461 |
|
192 |
175 |
$67.56 |
| 90715 |
|
27 |
25 |
$37.61 |
| 99173 |
|
13 |
12 |
$34.64 |
| 90674 |
|
39 |
38 |
$0.00 |
| 90734 |
|
14 |
12 |
$0.00 |