SAUK COUNTY
NPI: 1962535088
· BARABOO, WI 53913
· Public Health or Welfare Agency
· NPI assigned 03/14/2007
$318K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: BODENDEIN, CYNTHIA
| Provider | City | State | Total Paid |
|---|
| SAUK COUNTY |
BARABOO |
WI |
$100K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,881 |
$49K |
| 2019 |
4,169 |
$51K |
| 2020 |
1,116 |
$13K |
| 2021 |
1,383 |
$19K |
| 2022 |
3,869 |
$73K |
| 2023 |
4,248 |
$78K |
| 2024 |
2,089 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
8,976 |
8,929 |
$141K |
| D1351 |
Sealant - per tooth |
4,849 |
1,740 |
$97K |
| D0191 |
|
4,923 |
4,896 |
$64K |
| 83655 |
|
661 |
571 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
662 |
571 |
$6K |
| 36416 |
|
651 |
561 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
14 |
$212.59 |
| 90686 |
|
15 |
12 |
$39.72 |