Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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EASTERN IDAHO PUBLIC HEALTH DISTRICT

NPI: 1154426104 · IDAHO FALLS, ID 83401 · Public Health or Welfare Agency · NPI assigned 09/14/2006

$34K
Total Medicaid Paid
3,896
Total Claims
3,627
Beneficiaries
9
Codes Billed
2018-01
First Month
2021-04
Last Month

Provider Details

Authorized OfficialCORBETT, WILLIAM (DIRECTOR)
NPI Enumeration Date09/14/2006

Related Entities

Other providers sharing the same authorized official: CORBETT, WILLIAM

ProviderCityStateTotal Paid
EASTERN IDAHO PUBLIC HEALTH DISTRICT IDAHO FALLS ID $622K
WOODROW FAMILY DENTISTRY PC STATEN ISLAND NY $245K
EASTERN IDAHO PUBLIC HEALTH IDAHO FALLS ID $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,735 $17K
2019 1,325 $12K
2020 565 $5K
2021 271 $505.56

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0191 1,643 1,643 $26K
D1351 Sealant - per tooth 331 74 $7K
D1206 Topical application of fluoride varnish 1,700 1,700 $1K
0002A 19 19 $0.00
91300 56 47 $0.00
91301 50 50 $0.00
0001A 39 39 $0.00
0012A 28 27 $0.00
0011A 30 28 $0.00