Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COUNTY OF SHAWANO

NPI: 1174716385 · SHAWANO, WI 54166 · State or Local Public Health Clinic/Center · NPI assigned 08/21/2007

$51K
Total Medicaid Paid
5,840
Total Claims
4,634
Beneficiaries
7
Codes Billed
2018-01
First Month
2020-03
Last Month

Provider Details

Authorized OfficialHOVARTER, REBECCA (HEALTH OFFICER)
NPI Enumeration Date08/21/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,096 $10K
2019 3,941 $33K
2020 803 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1351 Sealant - per tooth 1,503 429 $17K
D1206 Topical application of fluoride varnish 1,896 1,849 $17K
D0191 1,901 1,854 $14K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 252 230 $2K
83655 155 146 $1K
36416 119 113 $275.79
90687 14 13 $19.86