NORTH IOWA COMMUNITY ACTION ORGANIZATION
NPI: 1174671416
· MASON CITY, IA 50401
· Public Health or Welfare Agency
· NPI assigned 01/05/2007
$333K
Total Medicaid Paid
Provider Details
| Authorized Official | GOERDT, DICK (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 01/05/2007 |
Related Entities
Other providers sharing the same authorized official: GOERDT, DICK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,717 |
$69K |
| 2019 |
5,257 |
$66K |
| 2020 |
1,857 |
$18K |
| 2021 |
5,443 |
$61K |
| 2022 |
7,618 |
$94K |
| 2023 |
1,841 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
9,359 |
8,872 |
$122K |
| D0190 |
|
8,150 |
7,741 |
$120K |
| D1351 |
Sealant - per tooth |
1,086 |
455 |
$37K |
| D1330 |
|
1,286 |
1,212 |
$18K |
| G0451 |
Development testing, with interpretation and report, per standardized instrument form |
307 |
283 |
$16K |
| 96127 |
|
342 |
274 |
$14K |
| D0602 |
|
7,148 |
6,768 |
$5K |
| D0603 |
|
1,036 |
972 |
$693.48 |
| D0145 |
Oral evaluation for a patient under three years of age |
19 |
19 |
$347.42 |