COUNTY OF WALWORTH
NPI: 1548348311
· ELKHORN, WI 53121
· State or Local Public Health Clinic/Center
· NPI assigned 11/01/2006
$206K
Total Medicaid Paid
Provider Details
| Authorized Official | NEVICOSI, CARLO (DIRECTOR) |
| Parent Organization | COUNTY OF WALWORTH |
| NPI Enumeration Date | 11/01/2006 |
Related Entities
Other providers sharing the same authorized official: NEVICOSI, CARLO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,685 |
$73K |
| 2019 |
5,306 |
$67K |
| 2020 |
1,503 |
$20K |
| 2021 |
1,012 |
$13K |
| 2022 |
2,395 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D1351 |
Sealant - per tooth |
4,759 |
1,480 |
$81K |
| D1206 |
Topical application of fluoride varnish |
5,476 |
5,430 |
$70K |
| D0191 |
|
3,559 |
3,526 |
$38K |
| 83655 |
|
679 |
614 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
762 |
681 |
$7K |
| 36416 |
|
666 |
604 |
$2K |