STANKE, ANDREA
NPI: 1124326962
· GREEN BAY, WI 54303
· Dental Hygienist
· NPI assigned 03/02/2011
$252K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,263 |
$19K |
| 2022 |
3,832 |
$81K |
| 2023 |
3,661 |
$76K |
| 2024 |
3,574 |
$76K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
4,068 |
4,066 |
$72K |
| D1120 |
Prophylaxis - child |
1,996 |
1,996 |
$59K |
| D1351 |
Sealant - per tooth |
2,098 |
704 |
$48K |
| D0191 |
|
2,712 |
2,712 |
$40K |
| D1110 |
Prophylaxis - adult |
661 |
661 |
$26K |
| D1354 |
|
795 |
386 |
$8K |