Nicholas J Wagner, DDS, LLC

Nicholas J Wagner, DDS, LLC was paid $1K by Medicaid between Jan 2018 and Nov 2020, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 78% of everything it billed.

33Billing provider infoNICHOLAS J WAGNER, DDS, LLC
BOONVILLE, IN 47601

33aNPI1306231717assigned 04/02/2015

33bProvider typeDentist

28Total paid$1K

24GClaims179

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2020

Compared with peers

Next to other Dentist providers in Indiana

Rank by total paid#384 of 452

Median peer was paid$59K

This provider vs. median0.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

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	139	$582.63
2019	15	$356.74
2020	25	$550.92

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	78%	121	104	$1K
D1110	Prophylaxis - adult	22%	58	48	$334.25

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 officialWAGNER, NICHOLAS (DENTIST/OWNER)