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CENTRAL COMMUNITY COLLEGE DENTAL HYGIENE CLINIC
CENTRAL COMMUNITY COLLEGE DENTAL HYGIENE CLINIC
NPI: 1487670774
· HASTINGS, NE 68902
· Student in an Organized Health Care Education/Training Program
· NPI assigned 07/14/2006
$142K
Total Medicaid Paid
Provider Details
| Authorized Official | CLOET, WANDA (DENTAL HYGIENE PROGRAM DIRECTOR) |
| NPI Enumeration Date | 07/14/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
2,520 |
$32K |
| 2022 |
3,189 |
$47K |
| 2023 |
3,218 |
$55K |
| 2024 |
821 |
$8K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
2,969 |
448 |
$72K |
| D1206 |
Topical application of fluoride varnish |
2,017 |
1,413 |
$37K |
| D1999 |
|
1,684 |
1,189 |
$15K |
| D1354 |
|
807 |
246 |
$7K |
| D1110 |
Prophylaxis - adult |
110 |
110 |
$4K |
| D0210 |
Intraoral - complete series of radiographic images |
87 |
86 |
$4K |
| D1120 |
Prophylaxis - child |
50 |
50 |
$1K |
| D0191 |
|
1,885 |
1,314 |
$1K |
| D0274 |
Bitewings - four radiographic images |
27 |
27 |
$443.80 |
| D0190 |
|
37 |
37 |
$303.89 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$168.08 |
| D1330 |
|
62 |
58 |
$0.00 |