NORTHEAST WISCONSIN TECHNICAL COLLEGE
NPI: 1972793818
· GREEN BAY, WI 54303
· Dental Clinic/Center
· NPI assigned 07/26/2007
Provider Details
| Authorized Official | BLUMREICH, JAMES (CHIEF FINANCIAL OFFICER) |
| NPI Enumeration Date | 07/26/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
29 |
$459.80 |
| 2020 |
37 |
$604.35 |
| 2021 |
62 |
$639.00 |
| 2022 |
96 |
$2K |
| 2023 |
154 |
$3K |
| 2024 |
113 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
154 |
148 |
$3K |
| D1206 |
Topical application of fluoride varnish |
241 |
233 |
$3K |
| D1110 |
Prophylaxis - adult |
84 |
81 |
$2K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$264.00 |