WOODBURY COUNTY GOVERNMENT
NPI: 1093132342
· SIOUX CITY, IA 51105
· Public Health or Welfare Agency
· NPI assigned 03/25/2014
$449K
Total Medicaid Paid
Provider Details
| Authorized Official | GRIEME, KEVIN (HEALTH DIRECTOR) |
| Parent Organization | WOODBURY COUNTY GOVERNMENT |
| NPI Enumeration Date | 03/25/2014 |
Related Entities
Other providers sharing the same authorized official: GRIEME, KEVIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,025 |
$39K |
| 2019 |
4,557 |
$62K |
| 2020 |
2,502 |
$42K |
| 2021 |
2,448 |
$25K |
| 2022 |
6,840 |
$88K |
| 2023 |
7,620 |
$108K |
| 2024 |
5,895 |
$86K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0190 |
|
8,565 |
8,486 |
$151K |
| D1206 |
Topical application of fluoride varnish |
8,938 |
8,860 |
$135K |
| D1351 |
Sealant - per tooth |
2,836 |
597 |
$82K |
| D1330 |
|
2,930 |
2,914 |
$49K |
| G0451 |
Development testing, with interpretation and report, per standardized instrument form |
246 |
239 |
$15K |
| D0602 |
|
6,625 |
6,580 |
$7K |
| 83655 |
|
319 |
300 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
238 |
219 |
$4K |
| D0603 |
|
1,800 |
1,789 |
$2K |
| D1354 |
|
294 |
75 |
$1K |
| D1310 |
|
13 |
12 |
$187.68 |
| 36416 |
|
83 |
83 |
$40.82 |