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SAC & FOX TRIBE OF THE MISS IN IOWA
SAC & FOX TRIBE OF THE MISS IN IOWA
NPI: 1477811057
· TAMA, IA 52339
· General Practice Dentistry
· NPI assigned 05/02/2012
$2.96M
Total Medicaid Paid
Provider Details
| Authorized Official | PAPAKEE, RUDY (HEALTH DIRECTOR) |
| NPI Enumeration Date | 05/02/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,712 |
$303K |
| 2019 |
3,182 |
$381K |
| 2020 |
1,955 |
$242K |
| 2021 |
1,451 |
$248K |
| 2022 |
3,239 |
$567K |
| 2023 |
4,201 |
$694K |
| 2024 |
2,577 |
$526K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9999 |
|
6,853 |
5,587 |
$2.21M |
| D0999 |
|
1,210 |
1,104 |
$736K |
| D1206 |
|
3,539 |
3,166 |
$3K |
| D0120 |
|
2,665 |
2,434 |
$3K |
| D1120 |
|
1,197 |
1,055 |
$2K |
| D1110 |
|
1,237 |
1,162 |
$2K |
| D2392 |
|
352 |
192 |
$2K |
| D0274 |
|
695 |
664 |
$661.01 |
| D0140 |
|
263 |
233 |
$308.14 |
| D0330 |
|
166 |
155 |
$274.79 |
| D1354 |
|
78 |
36 |
$125.34 |
| D0150 |
|
99 |
86 |
$104.49 |
| D0272 |
|
78 |
66 |
$43.81 |
| D2391 |
|
101 |
58 |
$21.95 |
| D0220 |
|
340 |
322 |
$8.00 |
| D1351 |
|
156 |
41 |
$7.87 |
| D0210 |
|
37 |
36 |
$1.10 |
| D7140 |
|
23 |
13 |
$0.08 |
| D0230 |
|
85 |
40 |
$0.06 |
| D1330 |
|
16 |
16 |
$0.00 |
| D9230 |
|
127 |
108 |
$0.00 |