NORTH CENTRAL DISTRICT HEALTH DEPARTMENT
NPI: 1225057813
· LEWISTON, ID 83501
· Nurse Practitioner
· NPI assigned 07/18/2006
Provider Details
| Authorized Official | MOEHRLE, CAROL (DIRECTOR) |
| NPI Enumeration Date | 07/18/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
882 |
$11K |
| 2019 |
620 |
$9K |
| 2020 |
76 |
$772.92 |
| 2021 |
450 |
$7K |
| 2022 |
1,010 |
$18K |
| 2023 |
1,527 |
$20K |
| 2024 |
1,794 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
2,065 |
430 |
$46K |
| D0191 |
|
1,556 |
1,556 |
$24K |
| T1017 |
Targeted case management, each 15 minutes |
45 |
37 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
398 |
385 |
$7K |
| D1206 |
Topical application of fluoride varnish |
1,931 |
1,931 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
154 |
148 |
$4K |
| 90686 |
|
89 |
84 |
$264.33 |
| G0008 |
Administration of influenza virus vaccine |
60 |
55 |
$119.17 |
| 90715 |
|
16 |
15 |
$0.00 |
| 90734 |
|
28 |
27 |
$0.00 |
| 90651 |
|
17 |
16 |
$0.00 |