NPI: 1205829827 · ALEDO, IL 61231 · Public Health or Welfare Agency · NPI assigned 08/30/2005
| Authorized Official | HISCOCKS, SUE (FISCAL MANAGER) |
| NPI Enumeration Date | 08/30/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,072 | $15K |
| 2019 | 1,419 | $18K |
| 2020 | 648 | $7K |
| 2021 | 386 | $4K |
| 2022 | 749 | $11K |
| 2023 | 662 | $10K |
| 2024 | 475 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2,423 | 2,110 | $28K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1,070 | 1,005 | $17K |
| D1120 | Prophylaxis - child | 130 | 130 | $5K |
| 90734 | 310 | 272 | $4K | |
| D0120 | Periodic oral evaluation - established patient | 144 | 144 | $4K |
| D1206 | Topical application of fluoride varnish | 141 | 140 | $4K |
| 90670 | 199 | 172 | $2K | |
| 90686 | 214 | 185 | $2K | |
| 90682 | 41 | 28 | $2K | |
| 92551 | 89 | 82 | $1K | |
| 90715 | 88 | 80 | $1K | |
| 85018 | 289 | 264 | $651.42 | |
| 99173 | 69 | 69 | $510.55 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 30 | 30 | $438.00 |
| 90710 | 33 | 27 | $360.98 | |
| 90744 | 19 | 14 | $309.19 | |
| 90698 | 18 | 13 | $292.48 | |
| 36416 | 66 | 62 | $229.60 | |
| 96127 | 12 | 12 | $175.20 | |
| 90681 | 14 | 13 | $89.60 | |
| 90633 | 12 | 12 | $76.80 |