Medicaid Provider Spending

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

NPI: 1104497486 · SEARSMONT, ME 04973 · Dental Hygienist · NPI assigned 07/07/2021

$112K
Total Medicaid Paid
4,451
Total Claims
2,251
Beneficiaries
7
Codes Billed
2022-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSARGENT, PAMELA (OWNER/OPERATOR)
NPI Enumeration Date07/07/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 531 $13K
2023 1,844 $42K
2024 2,076 $57K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1354 2,466 337 $60K
D0190 960 914 $19K
D1206 Topical application of fluoride varnish 774 753 $18K
D1120 Prophylaxis - child 155 152 $8K
D1110 Prophylaxis - adult 59 58 $4K
D4910 13 13 $1K
D0274 Bitewings - four radiographic images 24 24 $1K