NPI: 1316920317 · ELLSWORTH, WI 54011 · Public Health or Welfare Agency · NPI assigned 11/22/2005
| Authorized Official | GALOFF, SUE (DIRECTOR) |
| Parent Organization | COUNTY OF PIERCE |
| NPI Enumeration Date | 11/22/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 820 | $18K |
| 2019 | 360 | $12K |
| 2020 | 335 | $12K |
| 2021 | 325 | $17K |
| 2022 | 344 | $23K |
| 2023 | 509 | $28K |
| 2024 | 345 | $14K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1017 | Targeted case management, each 15 minutes | 2,511 | 2,053 | $119K |
| D1208 | Topical application of fluoride, excluding varnish | 400 | 381 | $5K |
| 83655 | 43 | 40 | $514.98 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 43 | 40 | $376.92 |
| 36416 | 41 | 39 | $54.57 |