Hospital
State of Maine
State of Maine was paid $75K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 59% of everything it billed.
33Billing provider infoSTATE OF MAINE
AUGUSTA, ME 04333
AUGUSTA, ME 04333
33aNPI1053319566assigned 07/08/2005
33bProvider typePsychiatric Hospital
28Total paid$75K
24GClaims3,758
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 530 | $7K | |
| 2019 | 1,414 | $15K | |
| 2020 | 313 | $3K | |
| 2021 | 37 | $220.00 | |
| 2022 | 342 | $8K | |
| 2023 | 578 | $19K | |
| 2024incomplete | 544 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 59% | 2,087 | 2,080 | $44K |
| D0274 | Bitewings - four radiographic images | 17% | 653 | 652 | $12K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 161 | 120 | $10K |
| D0330 | Panoramic radiographic image | 3.4% | 87 | 84 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.0% | 454 | 453 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 193 | 179 | $2K |
| D2330 | 1.0% | 16 | 13 | $748.00 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 95 | 95 | $718.50 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 12 | 12 | $182.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialGAGNON, JENNIFER (FINANCIAL MANAGER)
| Provider | Location | Paid |
|---|---|---|
| State of Maine | Augusta, ME | $1.01M |
| State of Maine | Augusta, ME | $603K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.