Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › MAGNA › GENESIS DENTAL OF MAGNA, LLC

GENESIS DENTAL OF MAGNA, LLC

NPI: 1245588508 · MAGNA, UT 84044 · General Practice Dentistry · NPI assigned 08/16/2012

$2K
Total Medicaid Paid
118
Total Claims
115
Beneficiaries
2
Codes Billed
2018-04
First Month
2022-08
Last Month

Provider Details

Authorized OfficialCASTO, JASON (MEMBER/OWNER)
NPI Enumeration Date08/16/2012

Related Entities

Other providers sharing the same authorized official: CASTO, JASON

ProviderCityStateTotal Paid
BRIGHT SMILES DENTAL TOOELE UT $212K
GENESIS DENTAL OF GRANGER WEST VALLEY CITY UT $181.76

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $126.63
2019 27 $0.00
2020 24 $50.32
2022 53 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0220 Intraoral - periapical first radiographic image 104 103 $2K
D1206 Topical application of fluoride varnish 14 12 $126.63