MID-SIOUX OPPORTUNITY, INC.
NPI: 1932280534
· REMSEN, IA 51050
· Case Management Agency
· NPI assigned 10/18/2006
$451K
Total Medicaid Paid
Provider Details
| Authorized Official | SIEVERS, DICK (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 10/18/2006 |
Related Entities
Other providers sharing the same authorized official: SIEVERS, DICK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,411 |
$77K |
| 2019 |
7,457 |
$134K |
| 2020 |
2,679 |
$55K |
| 2021 |
5,923 |
$83K |
| 2022 |
6,543 |
$102K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0451 |
Development testing, with interpretation and report, per standardized instrument form |
2,325 |
2,116 |
$127K |
| D0190 |
|
5,629 |
5,559 |
$91K |
| D1351 |
Sealant - per tooth |
2,470 |
1,148 |
$89K |
| D1206 |
Topical application of fluoride varnish |
4,390 |
4,346 |
$60K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,135 |
2,923 |
$47K |
| 96127 |
|
191 |
184 |
$11K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
675 |
542 |
$11K |
| 36416 |
|
3,508 |
3,276 |
$6K |
| D0602 |
|
5,097 |
5,037 |
$4K |
| D9990 |
|
185 |
170 |
$3K |
| D1353 |
|
92 |
34 |
$2K |
| D0603 |
|
304 |
301 |
$236.30 |
| D1330 |
|
12 |
12 |
$187.68 |