NPI: 1356466098 · JACKSON, OH 45640 · Public Health or Welfare Agency · NPI assigned 03/20/2007
| Authorized Official | ASTON, KEVIN (HEALTH COMMISSIONER) |
| NPI Enumeration Date | 03/20/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 62 | $600.00 |
| 2019 | 204 | $2K |
| 2020 | 125 | $2K |
| 2021 | 689 | $14K |
| 2022 | 1,013 | $21K |
| 2024 | 845 | $34K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1351 | Sealant - per tooth | 2,002 | 567 | $59K |
| D1206 | Topical application of fluoride varnish | 193 | 193 | $6K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 342 | 216 | $5K |
| 0072A | 14 | 14 | $841.82 | |
| 90734 | 82 | 80 | $715.28 | |
| 0001A | 13 | 13 | $713.94 | |
| 90686 | 72 | 72 | $705.39 | |
| 0071A | 15 | 15 | $693.74 | |
| 0064A | 12 | 12 | $437.44 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 12 | 12 | $212.85 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 13 | 12 | $188.50 |
| 90715 | 24 | 24 | $143.71 | |
| 86580 | 15 | 12 | $85.80 | |
| 91300 | 59 | 54 | $0.34 | |
| 91307 | 31 | 31 | $0.00 | |
| 91306 | 12 | 12 | $0.00 | |
| 90619 | 27 | 26 | $0.00 |