COMMUNITY HEALTH PARTNERSHIP OF ILLINOIS
NPI: 1982870259
· KANKAKEE, IL 60901
· Federally Qualified Health Center (FQHC)
· NPI assigned 05/06/2008
$115K
Total Medicaid Paid
Provider Details
| Authorized Official | BAUER, SUSAN (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 05/06/2008 |
Related Entities
Other providers sharing the same authorized official: BAUER, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
180 |
$4K |
| 2020 |
69 |
$2K |
| 2021 |
187 |
$9K |
| 2022 |
429 |
$36K |
| 2023 |
376 |
$34K |
| 2024 |
309 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0999 |
Unspecified diagnostic procedure, by report |
971 |
866 |
$115K |
| D1120 |
Prophylaxis - child |
162 |
152 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
31 |
31 |
$0.00 |
| D0601 |
|
95 |
94 |
$0.00 |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
16 |
12 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
164 |
154 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
67 |
67 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
44 |
44 |
$0.00 |