NORTH DAKOTA DEPARTMENT OF HEALTH
NPI: 1912484189
· BISMARCK, ND 58505
· Public Health Dentist
· NPI assigned 07/20/2018
$359K
Total Medicaid Paid
Provider Details
| Authorized Official | WEISZ, BRENDA (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 07/20/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,125 |
$39K |
| 2019 |
859 |
$38K |
| 2020 |
363 |
$23K |
| 2021 |
282 |
$24K |
| 2022 |
869 |
$80K |
| 2023 |
1,124 |
$105K |
| 2024 |
878 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,361 |
2,305 |
$359K |
| D1206 |
Topical application of fluoride varnish |
2,333 |
2,277 |
$0.00 |
| D1351 |
Sealant - per tooth |
535 |
523 |
$0.00 |
| D0190 |
|
271 |
268 |
$0.00 |