COUNTY OF CHAFFEE
NPI: 1609834449
· SALIDA, CO 81201
· State or Local Public Health Clinic/Center
· NPI assigned 05/02/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
360 |
$6K |
| 2019 |
336 |
$5K |
| 2020 |
166 |
$3K |
| 2021 |
179 |
$3K |
| 2022 |
12 |
$217.69 |
| 2023 |
160 |
$3K |
| 2024 |
113 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0190 |
|
723 |
635 |
$12K |
| D1206 |
Topical application of fluoride varnish |
289 |
255 |
$6K |
| D1120 |
Prophylaxis - child |
90 |
82 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
144 |
139 |
$2K |
| 90686 |
|
68 |
66 |
$668.85 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$285.74 |