LEE COUNTY AUDITOR
NPI: 1104996917
· FORT MADISON, IA 52627
· Public Health or Welfare Agency
· NPI assigned 11/09/2006
$958K
Total Medicaid Paid
Provider Details
| Authorized Official | ROSS, MICHELE (ADMINISTRATOR) |
| NPI Enumeration Date | 11/09/2006 |
Related Entities
Other providers sharing the same authorized official: ROSS, MICHELE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,676 |
$106K |
| 2019 |
7,447 |
$107K |
| 2020 |
2,392 |
$38K |
| 2021 |
6,804 |
$97K |
| 2022 |
12,169 |
$184K |
| 2023 |
14,583 |
$215K |
| 2024 |
14,191 |
$211K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
15,923 |
15,697 |
$237K |
| D0190 |
|
13,972 |
13,786 |
$236K |
| D1351 |
Sealant - per tooth |
5,876 |
1,705 |
$151K |
| G0451 |
Development testing, with interpretation and report, per standardized instrument form |
1,970 |
1,799 |
$110K |
| D1330 |
|
5,101 |
5,020 |
$83K |
| 83655 |
|
2,285 |
2,006 |
$36K |
| D1310 |
|
2,059 |
2,048 |
$34K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,228 |
2,011 |
$33K |
| D0602 |
|
12,115 |
11,961 |
$11K |
| D0145 |
Oral evaluation for a patient under three years of age |
560 |
544 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
200 |
197 |
$7K |
| D1353 |
|
242 |
97 |
$5K |
| D0603 |
|
2,536 |
2,500 |
$2K |
| 99174 |
|
44 |
38 |
$392.37 |
| D1354 |
|
53 |
19 |
$227.90 |
| 90734 |
|
84 |
83 |
$0.00 |
| 90658 |
|
14 |
14 |
$0.00 |