COUNTY OF WOOD
NPI: 1497855621
· WISCONSIN RAPIDS, WI 54495
· Public Health or Welfare Agency
· NPI assigned 09/25/2006
$446K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, SUSAN (DIRECTOR/HEALTH OFFICER) |
| NPI Enumeration Date | 09/25/2006 |
Related Entities
Other providers sharing the same authorized official: SMITH, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
6,087 |
$70K |
| 2019 |
6,373 |
$71K |
| 2020 |
2,657 |
$31K |
| 2021 |
4,300 |
$55K |
| 2022 |
3,740 |
$64K |
| 2023 |
4,463 |
$80K |
| 2024 |
4,354 |
$76K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1206 |
Topical application of fluoride varnish |
11,717 |
11,656 |
$176K |
| D0191 |
|
11,966 |
11,902 |
$151K |
| D1351 |
Sealant - per tooth |
4,961 |
1,365 |
$97K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,032 |
1,007 |
$10K |
| 99188 |
|
811 |
803 |
$8K |
| 99000 |
|
691 |
671 |
$2K |
| 36416 |
|
691 |
671 |
$1K |
| D1120 |
Prophylaxis - child |
13 |
13 |
$366.60 |
| 90657 |
|
67 |
66 |
$185.36 |
| 90670 |
|
13 |
12 |
$23.17 |
| 90658 |
|
12 |
12 |
$16.55 |