Medicaid Provider Spending

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

BIGELOW AND PASTRELL DENTISTRY

NPI: 1376751875 · GRANTS PASS, OR 97527 · General Practice Dentistry · NPI assigned 05/18/2007

$0.00
Total Medicaid Paid
243
Total Claims
242
Beneficiaries
7
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialPASTRELL, PETER (OWNER)
NPI Enumeration Date05/18/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 243 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 57 57 $0.00
D0274 Bitewings - four radiographic images 12 12 $0.00
D1110 Prophylaxis - adult 43 43 $0.00
D0220 Intraoral - periapical first radiographic image 41 41 $0.00
D0140 Limited oral evaluation - problem focused 27 26 $0.00
D0120 Periodic oral evaluation - established patient 12 12 $0.00
D1208 Topical application of fluoride, excluding varnish 51 51 $0.00