Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MT › THOMPSON FALLS › RIVER TOWN DENTAL CORPORATION

RIVER TOWN DENTAL CORPORATION

NPI: 1235722737 · THOMPSON FALLS, MT 59873 · Dentist · NPI assigned 02/16/2021

$24K
Total Medicaid Paid
998
Total Claims
813
Beneficiaries
6
Codes Billed
2021-05
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBAGNELL, TIMOTHY (DENTIST)
NPI Enumeration Date02/16/2021

Related Entities

Other providers sharing the same authorized official: BAGNELL, TIMOTHY

ProviderCityStateTotal Paid
WESTERN MONTANA FAMILY DENTISTRY RONAN MT $1.15M
BAGNELL DENTAL CLINIC, P.C. FRENCHTOWN MT $101K
JEWEL BASIN DENTISTRY BIG FORK MT $9K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 169 $4K
2022 81 $3K
2023 288 $7K
2024 460 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 363 305 $6K
D0150 Comprehensive oral evaluation - new or established patient 233 170 $6K
D0120 Periodic oral evaluation - established patient 246 208 $5K
D1110 Prophylaxis - adult 94 75 $4K
D0274 Bitewings - four radiographic images 48 41 $2K
D0210 Intraoral - complete series of radiographic images 14 14 $902.46