COMPREHENSIVE HEALTH SERVICES
NPI: 1740547728
· RED LAKE, MN 56671
· Health Service Clinic/Center
· NPI assigned 04/16/2012
$4.83M
Total Medicaid Paid
Provider Details
| Authorized Official | BEAULIEU, ORAN (TRIBAL HEALTH DIRECTOR) |
| NPI Enumeration Date | 04/16/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,960 |
$669K |
| 2019 |
4,789 |
$873K |
| 2020 |
746 |
$79K |
| 2021 |
490 |
$71K |
| 2022 |
1,734 |
$572K |
| 2023 |
5,621 |
$1.16M |
| 2024 |
4,707 |
$1.41M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
8,265 |
7,943 |
$3.62M |
| D1120 |
Prophylaxis - child |
2,231 |
2,217 |
$644K |
| D1110 |
Prophylaxis - adult |
907 |
901 |
$242K |
| D0120 |
Periodic oral evaluation - established patient |
592 |
589 |
$221K |
| D1330 |
|
593 |
589 |
$74K |
| D1351 |
Sealant - per tooth |
3,145 |
1,101 |
$18K |
| D1354 |
|
5,176 |
1,063 |
$11K |
| D1206 |
Topical application of fluoride varnish |
85 |
85 |
$0.00 |
| D2940 |
|
53 |
29 |
$0.00 |