FOWLER MEMORIAL FREE DENTAL CLINIC
NPI: 1073754024
· MONROE, WI 53566
· 1223G0001X
$326K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
519 |
$5K |
| 2019 |
917 |
$11K |
| 2020 |
1,030 |
$17K |
| 2021 |
3,683 |
$69K |
| 2022 |
3,730 |
$74K |
| 2023 |
3,581 |
$55K |
| 2024 |
3,238 |
$95K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
2,041 |
1,796 |
$45K |
| D1206 |
|
3,266 |
2,855 |
$44K |
| D0210 |
|
793 |
754 |
$33K |
| D0120 |
|
1,926 |
1,612 |
$31K |
| D1110 |
|
855 |
786 |
$25K |
| D0150 |
|
1,234 |
1,087 |
$25K |
| D2392 |
|
271 |
177 |
$19K |
| D2391 |
|
291 |
184 |
$17K |
| D0140 |
|
696 |
612 |
$15K |
| D0274 |
|
529 |
478 |
$12K |
| D1351 |
|
574 |
91 |
$10K |
| D2940 |
|
281 |
173 |
$10K |
| D0330 |
|
309 |
266 |
$10K |
| D1354 |
|
1,110 |
262 |
$9K |
| D0220 |
|
651 |
573 |
$6K |
| D4346 |
|
65 |
52 |
$5K |
| D0272 |
|
200 |
199 |
$3K |
| D2150 |
|
63 |
38 |
$3K |
| D2393 |
|
17 |
13 |
$2K |
| D0230 |
|
224 |
124 |
$1K |
| D7140 |
|
29 |
14 |
$880.76 |
| D0270 |
|
42 |
42 |
$433.74 |
| D1330 |
|
1,231 |
1,188 |
$0.00 |