CITY OF MENASHA FINANCE DEPARTMENT
NPI: 1427237304
· MENASHA, WI 54952
· Public Health or Welfare Agency
· NPI assigned 10/29/2007
$196K
Total Medicaid Paid
Provider Details
| Authorized Official | NETT, SUSAN (PUBLIC HEALTH DIRECTOR) |
| Parent Organization | CITY OF MENASHA FINANCE DEPARTMENT |
| NPI Enumeration Date | 10/29/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,379 |
$29K |
| 2019 |
3,544 |
$34K |
| 2020 |
1,214 |
$13K |
| 2021 |
1,796 |
$16K |
| 2022 |
2,241 |
$31K |
| 2023 |
2,534 |
$37K |
| 2024 |
2,598 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0191 |
|
9,351 |
9,196 |
$99K |
| D1206 |
Topical application of fluoride varnish |
6,009 |
5,828 |
$70K |
| D1351 |
Sealant - per tooth |
1,906 |
462 |
$27K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
22 |
$224.20 |
| 90656 |
|
18 |
18 |
$56.27 |