BAGNELL DENTAL CLINIC, P.C.
NPI: 1538563564
· FRENCHTOWN, MT 59834
· General Practice Dentistry
· NPI assigned 10/20/2014
$101K
Total Medicaid Paid
Provider Details
| Authorized Official | BAGNELL, TIMOTHY (OWNER/DENTIST) |
| NPI Enumeration Date | 10/20/2014 |
Related Entities
Other providers sharing the same authorized official: BAGNELL, TIMOTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
451 |
$23K |
| 2019 |
260 |
$8K |
| 2020 |
665 |
$13K |
| 2021 |
230 |
$8K |
| 2022 |
517 |
$26K |
| 2023 |
281 |
$18K |
| 2024 |
203 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
1,152 |
1,100 |
$27K |
| D1110 |
Prophylaxis - adult |
469 |
438 |
$23K |
| D2740 |
Crown - porcelain/ceramic |
42 |
28 |
$20K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
106 |
63 |
$12K |
| D0274 |
Bitewings - four radiographic images |
325 |
314 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
170 |
107 |
$4K |
| D4910 |
|
25 |
24 |
$2K |
| D2950 |
|
14 |
12 |
$2K |
| D0210 |
Intraoral - complete series of radiographic images |
32 |
14 |
$902.46 |
| D1206 |
Topical application of fluoride varnish |
29 |
29 |
$630.11 |
| D0140 |
Limited oral evaluation - problem focused |
14 |
14 |
$473.14 |
| D1999 |
|
229 |
152 |
$93.50 |