Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MATTHEW A. BAGNULO, DDS, PS

NPI: 1053978064 · KIRKLAND, WA 98034 · General Practice Dentistry · NPI assigned 05/24/2019

$25K
Total Medicaid Paid
1,238
Total Claims
1,200
Beneficiaries
9
Codes Billed
2020-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBAGNULO, MATTHEW (OWNER)
NPI Enumeration Date05/24/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 202 $3K
2021 162 $3K
2022 69 $1K
2023 298 $6K
2024 507 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 389 379 $10K
D1208 Topical application of fluoride, excluding varnish 310 298 $7K
D1120 Prophylaxis - child 178 172 $4K
D1110 Prophylaxis - adult 24 24 $1K
D0274 Bitewings - four radiographic images 79 75 $1K
D0220 Intraoral - periapical first radiographic image 119 115 $1K
D0150 Comprehensive oral evaluation - new or established patient 12 12 $533.04
D0230 Intraoral - periapical each additional radiographic image 115 113 $267.81
D1206 Topical application of fluoride varnish 12 12 $159.00