GAGNON DENTAL
NPI: 1023549615
· FARMINGDALE, ME 04344
· General Practice Dentistry
· NPI assigned 03/24/2017
Provider Details
| Authorized Official | CURTIS, NATHAN (MANAGER) |
| NPI Enumeration Date | 03/24/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
31 |
$300.00 |
| 2020 |
89 |
$2K |
| 2021 |
141 |
$2K |
| 2022 |
175 |
$4K |
| 2023 |
64 |
$3K |
| 2024 |
82 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1206 |
Topical application of fluoride varnish |
369 |
352 |
$5K |
| D1110 |
Prophylaxis - adult |
98 |
91 |
$4K |
| D1120 |
Prophylaxis - child |
46 |
43 |
$2K |
| D0274 |
Bitewings - four radiographic images |
56 |
51 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$302.00 |