NORTHEAST MISSOURI HEALTH COUNCIL, INC.
NPI: 1972649986
· KIRKSVILLE, MO 63501
· Public Health Dentist
· NPI assigned 01/29/2007
$292K
Total Medicaid Paid
Provider Details
| Authorized Official | GRIMM, ANDREW (EXECUTIVE DIRECTOR) |
| Parent Organization | NORTHEAST MISSOURI HEALTH COUNCIL, INC. |
| NPI Enumeration Date | 01/29/2007 |
Related Entities
Other providers sharing the same authorized official: GRIMM, ANDREW
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
820 |
$50K |
| 2019 |
792 |
$51K |
| 2020 |
851 |
$53K |
| 2021 |
349 |
$24K |
| 2022 |
495 |
$29K |
| 2023 |
467 |
$34K |
| 2024 |
767 |
$51K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
Bitewings - four radiographic images |
1,831 |
1,705 |
$96K |
| D1110 |
Prophylaxis - adult |
1,020 |
946 |
$71K |
| D7140 |
Extraction, erupted tooth or exposed root |
374 |
128 |
$47K |
| D0330 |
Panoramic radiographic image |
293 |
265 |
$26K |
| D0140 |
Limited oral evaluation - problem focused |
350 |
292 |
$20K |
| D0120 |
Periodic oral evaluation - established patient |
270 |
254 |
$13K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
32 |
24 |
$7K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
115 |
106 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
256 |
216 |
$5K |