DOOR COUNTY MEMORIAL HOSPITAL
NPI: 1497079784
· STURGEON BAY, WI 54235
· Dental Clinic/Center
· NPI assigned 03/16/2010
$1.49M
Total Medicaid Paid
Provider Details
| Authorized Official | LALUZERNE, ANDREW (CFO) |
| NPI Enumeration Date | 03/16/2010 |
Related Entities
Other providers sharing the same authorized official: LALUZERNE, ANDREW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,023 |
$217K |
| 2019 |
8,658 |
$167K |
| 2020 |
6,439 |
$133K |
| 2021 |
8,760 |
$192K |
| 2022 |
8,803 |
$261K |
| 2023 |
9,214 |
$294K |
| 2024 |
7,899 |
$225K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
7,753 |
7,698 |
$234K |
| D2392 |
|
3,469 |
2,409 |
$219K |
| D1206 |
|
9,396 |
9,278 |
$136K |
| D1120 |
|
5,030 |
4,977 |
$120K |
| D2391 |
|
2,450 |
1,719 |
$117K |
| D0120 |
|
7,287 |
7,210 |
$110K |
| D1351 |
|
4,910 |
1,198 |
$99K |
| D0140 |
|
3,459 |
3,314 |
$74K |
| D2393 |
|
943 |
782 |
$73K |
| D0274 |
|
3,213 |
3,193 |
$62K |
| D0210 |
|
723 |
719 |
$38K |
| D0150 |
|
1,512 |
1,498 |
$36K |
| D0272 |
|
2,352 |
2,328 |
$35K |
| D0330 |
|
1,131 |
1,119 |
$34K |
| D7140 |
|
832 |
395 |
$31K |
| D0220 |
|
2,621 |
2,518 |
$22K |
| D2331 |
|
353 |
245 |
$19K |
| D1354 |
|
762 |
338 |
$7K |
| D2335 |
|
75 |
67 |
$5K |
| D2330 |
|
128 |
90 |
$5K |
| D4346 |
|
42 |
41 |
$4K |
| D2394 |
|
53 |
49 |
$4K |
| D0230 |
|
430 |
266 |
$3K |
| D0270 |
|
213 |
206 |
$2K |
| D1208 |
|
98 |
95 |
$1K |
| D9230 |
|
548 |
508 |
$0.00 |
| D0145 |
|
13 |
13 |
$0.00 |