OUTREACH 4 HEALTHY TEETH, LLC
NPI: 1083254064
· RACINE, WI 53403
· 261QD0000X
$178K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
105 |
$3K |
| 2023 |
2,942 |
$60K |
| 2024 |
6,388 |
$116K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
|
1,766 |
1,750 |
$57K |
| D1351 |
|
1,921 |
622 |
$46K |
| D1206 |
|
2,237 |
2,210 |
$37K |
| D0191 |
|
1,889 |
1,867 |
$25K |
| D1354 |
|
1,622 |
472 |
$13K |