TRENTON INDIAN SERVICE AREA
NPI: 1568574036
· TRENTON, ND 58853
· Clinic/Center
· NPI assigned 08/31/2006
$235K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$7K |
| 2019 |
17 |
$4K |
| 2020 |
49 |
$13K |
| 2021 |
158 |
$51K |
| 2022 |
178 |
$54K |
| 2023 |
231 |
$74K |
| 2024 |
65 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
684 |
555 |
$228K |
| D0120 |
Periodic oral evaluation - established patient |
28 |
24 |
$7K |
| D1330 |
|
14 |
13 |
$0.00 |