Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IL › KANKAKEE › KANKAKEE SCHOOL DISTRICT 111 SCHOOL-BASED HEALTH CENTER

KANKAKEE SCHOOL DISTRICT 111 SCHOOL-BASED HEALTH CENTER

NPI: 1235256520 · KANKAKEE, IL 60901 · General Practice Dentistry · NPI assigned 03/23/2007

$13K
Total Medicaid Paid
640
Total Claims
553
Beneficiaries
4
Codes Billed
2018-01
First Month
2019-05
Last Month

Provider Details

Authorized OfficialALI, BRIAN (SUPERINTENDENT)
NPI Enumeration Date03/23/2007

Related Entities

Other providers sharing the same authorized official: ALI, BRIAN

ProviderCityStateTotal Paid
KANKAKEE SCHOOL DISTRICT 111 KANKAKEE IL $1.14M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 385 $7K
2019 255 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 234 198 $8K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 247 214 $3K
96127 133 116 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 26 25 $657.10