TAGUE, JAMES
NPI: 1467482976
· ALEXANDRIA BAY, NY 13607
· Dentist
· NPI assigned 07/03/2006
$122K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
290 |
$11K |
| 2019 |
564 |
$21K |
| 2020 |
621 |
$22K |
| 2021 |
684 |
$25K |
| 2022 |
618 |
$23K |
| 2023 |
518 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,291 |
1,289 |
$68K |
| D0120 |
Periodic oral evaluation - established patient |
1,609 |
1,608 |
$44K |
| D0274 |
Bitewings - four radiographic images |
287 |
287 |
$8K |
| D1208 |
Topical application of fluoride, excluding varnish |
83 |
83 |
$1K |
| D1120 |
Prophylaxis - child |
12 |
12 |
$512.90 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$171.80 |