SOUTHEAST DISTRICT HEALTH DEPARTMENT
NPI: 1962863126
· AUBURN, NE 68305
· Public Health or Welfare Agency
· NPI assigned 03/16/2016
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
28 |
$305.76 |
| 2020 |
60 |
$1K |
| 2021 |
1,304 |
$23K |
| 2022 |
939 |
$18K |
| 2023 |
680 |
$16K |
| 2024 |
1,324 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
2,182 |
2,029 |
$57K |
| D0190 |
|
710 |
707 |
$9K |
| D1999 |
|
984 |
984 |
$8K |
| D1120 |
Prophylaxis - child |
176 |
176 |
$4K |
| D1351 |
Sealant - per tooth |
107 |
27 |
$2K |
| 0064A |
|
36 |
32 |
$1K |
| 90686 |
|
51 |
44 |
$491.40 |
| 0004A |
|
20 |
19 |
$488.02 |
| 0072A |
|
19 |
13 |
$484.25 |
| 90710 |
|
16 |
16 |
$219.40 |
| D9999 |
Unspecified adjunctive procedure, by report |
34 |
34 |
$0.00 |