NORTHWEST ORAL HEALTH OUTREACH LLC
NPI: 1629445929
· ELLENSBURG, WA 98926
· 261QD0000X
$669K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,116 |
$43K |
| 2019 |
834 |
$16K |
| 2020 |
1,195 |
$20K |
| 2021 |
715 |
$17K |
| 2022 |
2,996 |
$132K |
| 2023 |
4,370 |
$195K |
| 2024 |
5,347 |
$246K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2392 |
|
1,387 |
955 |
$115K |
| D1110 |
|
1,816 |
1,809 |
$88K |
| D0150 |
|
1,889 |
1,878 |
$78K |
| D0330 |
|
1,565 |
1,561 |
$56K |
| D2391 |
|
863 |
578 |
$55K |
| D1206 |
|
2,449 |
2,433 |
$48K |
| D0140 |
|
1,387 |
1,334 |
$41K |
| D7140 |
|
564 |
230 |
$33K |
| D0274 |
|
2,309 |
2,304 |
$33K |
| D2393 |
|
265 |
218 |
$32K |
| D4341 |
|
610 |
270 |
$29K |
| D0120 |
|
877 |
873 |
$26K |
| D0220 |
|
884 |
872 |
$9K |
| D2331 |
|
85 |
71 |
$8K |
| D7210 |
|
67 |
38 |
$8K |
| D1999 |
|
467 |
380 |
$6K |
| D2332 |
|
18 |
13 |
$2K |
| D2330 |
|
33 |
25 |
$2K |
| D2394 |
|
14 |
12 |
$2K |
| D1120 |
|
24 |
24 |
$629.63 |