NPI: 1992132682 · MILFORD, VA 22514 · Federally Qualified Health Center (FQHC) · NPI assigned 09/26/2013
Authorized official ALLBAUGH, CHARLES controls 18+ related entities in our dataset. Read more
| Authorized Official | ALLBAUGH, CHARLES (CFO) |
| NPI Enumeration Date | 09/26/2013 |
Other providers sharing the same authorized official: ALLBAUGH, CHARLES
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 2,245 | $58K |
| 2019 | 1,049 | $25K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1120 | Prophylaxis - child | 642 | 642 | $22K |
| D1206 | Topical application of fluoride varnish | 1,018 | 1,018 | $21K |
| D0120 | Periodic oral evaluation - established patient | 841 | 841 | $17K |
| D1110 | Prophylaxis - adult | 192 | 192 | $9K |
| D1351 | Sealant - per tooth | 202 | 84 | $6K |
| D0272 | Bitewings - two radiographic images | 231 | 231 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21 | 13 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 88 | 84 | $872.04 |
| D0140 | Limited oral evaluation - problem focused | 47 | 46 | $744.90 |
| D0274 | Bitewings - four radiographic images | 12 | 12 | $331.20 |