Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NE › LEXINGTON › THOMAS G FAGOT DDS PC

THOMAS G FAGOT DDS PC

NPI: 1457802175 · LEXINGTON, NE 68850 · General Practice Dentistry · NPI assigned 10/18/2016

$255K
Total Medicaid Paid
12,123
Total Claims
11,974
Beneficiaries
11
Codes Billed
2018-01
First Month
2023-12
Last Month

Provider Details

Authorized OfficialALEXANDER, THOMAS (DOCTOR/BUSINESS MANAGER)
NPI Enumeration Date10/18/2016

Related Entities

Other providers sharing the same authorized official: ALEXANDER, THOMAS

ProviderCityStateTotal Paid
FRED FINCH YOUTH CENTER SPRING VALLEY CA $1.95M
FRED FINCH YOUTH CENTER SAN MARCOS CA $672K
DR. JOANNA BARNETT & ASSOCIATES INC STERLING VA $427K
FRED FINCH YOUTH CENTER CHULA VISTA CA $406K
GASTROINTESTINAL SPECIALISTS PC TROY MI $198K
FRED FINCH YOUTH CENTER LEMON GROVE CA $135K
FRED FINCH YOUTH CENTER SPRING VALLEY CA $91K
FRED FINCH YOUTH CENTER SPRING VALLEY CA $49K
FRED FINCH YOUTH CENTER OAKLAND CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,723 $35K
2019 1,723 $38K
2020 1,261 $27K
2021 2,655 $51K
2022 2,802 $56K
2023 1,959 $49K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 2,788 2,699 $67K
D0120 Periodic oral evaluation - established patient 2,659 2,659 $62K
D1120 Prophylaxis - child 2,178 2,178 $59K
D1110 Prophylaxis - adult 737 737 $26K
D1999 2,501 2,448 $25K
D0272 Bitewings - two radiographic images 386 386 $5K
D0150 Comprehensive oral evaluation - new or established patient 193 193 $4K
D0274 Bitewings - four radiographic images 186 186 $3K
D0220 Intraoral - periapical first radiographic image 402 397 $2K
D0140 Limited oral evaluation - problem focused 41 41 $928.48
D0230 Intraoral - periapical each additional radiographic image 52 50 $244.40