TIOGA COUNTY HEALTH DEPARTMENT
NPI: 1114078268
· OWEGO, NY 13827
· Public Health or Welfare Agency
· NPI assigned 01/16/2007
$114K
Total Medicaid Paid
Provider Details
| Authorized Official | MCCANN, DENIS (DIRECTOR OF ADMINISTRATIVE SERVICES) |
| Parent Organization | TIOGA COUNTY |
| NPI Enumeration Date | 01/16/2007 |
Related Entities
Other providers sharing the same authorized official: MCCANN, DENIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
13 |
$0.00 |
| 2019 |
491 |
$8K |
| 2020 |
714 |
$14K |
| 2021 |
820 |
$17K |
| 2022 |
1,547 |
$36K |
| 2023 |
1,500 |
$38K |
| 2024 |
69 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0190 |
|
3,771 |
1,214 |
$78K |
| D1120 |
Prophylaxis - child |
215 |
215 |
$9K |
| D0272 |
Bitewings - two radiographic images |
421 |
300 |
$8K |
| D1206 |
Topical application of fluoride varnish |
255 |
255 |
$7K |
| D0603 |
|
260 |
149 |
$4K |
| D1351 |
Sealant - per tooth |
33 |
27 |
$4K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
44 |
27 |
$3K |
| D1110 |
Prophylaxis - adult |
16 |
16 |
$834.24 |
| D1208 |
Topical application of fluoride, excluding varnish |
55 |
53 |
$501.23 |
| D0602 |
|
58 |
58 |
$0.00 |
| D0601 |
|
26 |
26 |
$0.00 |