CONFEDERATED TRIBES & BANDS OF THE YAKAMA NATION
NPI: 1790977965
· TOPPENISH, WA 98948
· Dental Hygienist
· NPI assigned 08/13/2007
$511K
Total Medicaid Paid
Provider Details
| Authorized Official | SWAN, ELLEN (PROGRAM MANAGER) |
| NPI Enumeration Date | 08/13/2007 |
Related Entities
Other providers sharing the same authorized official: SWAN, ELLEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,296 |
$298K |
| 2019 |
1,414 |
$178K |
| 2020 |
296 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic visit/encounter, all-inclusive |
1,628 |
1,252 |
$480K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,364 |
995 |
$11K |
| D0120 |
Periodic oral evaluation - established patient |
732 |
602 |
$9K |
| D1120 |
Prophylaxis - child |
634 |
524 |
$9K |
| D1206 |
Topical application of fluoride varnish |
212 |
210 |
$3K |
| D0191 |
|
219 |
217 |
$0.00 |
| D1330 |
|
217 |
215 |
$0.00 |