TWO RIVERS PUBLIC HEALTH DEPARTMENT
NPI: 1881041390
· HOLDREGE, NE 68949
· State or Local Public Health Clinic/Center
· NPI assigned 05/16/2016
$173K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,840 |
$33K |
| 2019 |
1,344 |
$29K |
| 2020 |
121 |
$341.92 |
| 2021 |
1,866 |
$40K |
| 2022 |
2,939 |
$64K |
| 2023 |
313 |
$6K |
| 2024 |
80 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
3,991 |
599 |
$97K |
| D1206 |
Topical application of fluoride varnish |
3,251 |
3,126 |
$67K |
| D1999 |
|
615 |
615 |
$6K |
| 90686 |
|
187 |
186 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
289 |
288 |
$675.70 |
| 0004A |
|
49 |
49 |
$496.25 |
| 0134A |
|
13 |
13 |
$463.32 |
| 90694 |
|
28 |
28 |
$66.42 |
| 91320 |
|
40 |
40 |
$0.00 |
| 90480 |
|
40 |
40 |
$0.00 |