SKOKOMISH TRIBAL COUNCIL
NPI: 1457506081
· SKOKOMISH NATION, WA 98584
· Dental Hygienist
· NPI assigned 11/24/2008
$1.39M
Total Medicaid Paid
Provider Details
| Authorized Official | LONGSHORE, FRANCES (BUSINESS OFFICE MANAGER) |
| NPI Enumeration Date | 11/24/2008 |
Related Entities
Other providers sharing the same authorized official: LONGSHORE, FRANCES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,028 |
$223K |
| 2019 |
1,540 |
$204K |
| 2020 |
889 |
$148K |
| 2021 |
307 |
$87K |
| 2022 |
781 |
$211K |
| 2023 |
1,134 |
$273K |
| 2024 |
943 |
$245K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
3,502 |
2,754 |
$1.35M |
| D0140 |
Limited oral evaluation - problem focused |
1,015 |
824 |
$19K |
| D0120 |
Periodic oral evaluation - established patient |
573 |
516 |
$13K |
| D0220 |
Intraoral - periapical first radiographic image |
1,155 |
1,047 |
$9K |
| D1206 |
Topical application of fluoride varnish |
96 |
86 |
$1K |
| D0230 |
Intraoral - periapical each additional radiographic image |
627 |
204 |
$1K |
| D1120 |
Prophylaxis - child |
42 |
41 |
$643.44 |
| D1110 |
Prophylaxis - adult |
12 |
12 |
$351.28 |
| D0190 |
|
18 |
16 |
$0.00 |
| D9215 |
|
269 |
218 |
$0.00 |
| D1330 |
|
313 |
287 |
$0.00 |