CENTRAL DISTRICT HEALTH DEPARTMENT
NPI: 1700036837
· GRAND ISLAND, NE 68801
· Public Health or Welfare Agency
· NPI assigned 09/25/2008
$910K
Total Medicaid Paid
Provider Details
| Authorized Official | ANDERSON, TERESA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 09/25/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$243.94 |
| 2019 |
58 |
$668.95 |
| 2020 |
55 |
$546.55 |
| 2021 |
464 |
$8K |
| 2022 |
1,956 |
$70K |
| 2023 |
8,173 |
$423K |
| 2024 |
7,271 |
$407K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90636 |
|
1,554 |
1,552 |
$188K |
| 90707 |
|
2,087 |
2,082 |
$179K |
| 91320 |
|
893 |
854 |
$95K |
| 90716 |
|
765 |
761 |
$89K |
| 90651 |
|
490 |
487 |
$89K |
| 90715 |
|
1,503 |
1,501 |
$52K |
| 90713 |
|
1,116 |
1,116 |
$43K |
| 90714 |
|
1,097 |
1,095 |
$28K |
| 90746 |
|
440 |
437 |
$28K |
| 90480 |
|
917 |
886 |
$24K |
| 90686 |
|
1,326 |
1,249 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,171 |
2,995 |
$18K |
| 0124A |
|
464 |
463 |
$16K |
| 0052A |
|
168 |
166 |
$6K |
| D1206 |
Topical application of fluoride varnish |
195 |
195 |
$5K |
| 0051A |
|
108 |
105 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
561 |
557 |
$3K |
| 0003A |
|
113 |
112 |
$3K |
| 90688 |
|
129 |
127 |
$3K |
| D1351 |
Sealant - per tooth |
101 |
24 |
$2K |
| 90633 |
|
223 |
223 |
$2K |
| 0001A |
|
73 |
73 |
$2K |
| 0002A |
|
66 |
66 |
$2K |
| 90658 |
|
72 |
72 |
$1K |
| 0072A |
|
51 |
51 |
$1K |
| 0071A |
|
44 |
44 |
$832.44 |
| 90662 |
|
12 |
12 |
$790.10 |
| 90632 |
|
12 |
12 |
$772.86 |
| 90734 |
|
31 |
31 |
$668.56 |
| 90656 |
|
67 |
63 |
$577.62 |
| 0013A |
|
41 |
41 |
$480.53 |
| 0053A |
|
13 |
13 |
$443.28 |
| 0134A |
|
32 |
32 |
$407.08 |
| 91319 |
|
12 |
12 |
$386.10 |
| 90744 |
|
12 |
12 |
$131.04 |
| 91300 |
|
16 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
14 |
14 |
$0.00 |