Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BLUE RIDGE HEALTH CENTER INC

NPI: 1962753145 · ARRINGTON, VA 22922 · Federally Qualified Health Center (FQHC) · NPI assigned 09/27/2012

$7K
Total Medicaid Paid
716
Total Claims
668
Beneficiaries
8
Codes Billed
2019-08
First Month
2021-06
Last Month

Provider Details

Authorized OfficialWHITEHEAD, PEGGY (EXECUTIVE DIRECTOR)
NPI Enumeration Date09/27/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 134 $2K
2020 304 $2K
2021 278 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 283 266 $4K
D0220 Intraoral - periapical first radiographic image 271 254 $1K
D0330 Panoramic radiographic image 39 39 $971.82
D0150 Comprehensive oral evaluation - new or established patient 25 25 $626.20
D0120 Periodic oral evaluation - established patient 25 25 $362.70
3008F 26 24 $0.00
D0210 Intraoral - complete series of radiographic images 22 22 $0.00
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 25 13 $0.00