Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MT › BOZEMAN › SAGER DENTAL GROUP

SAGER DENTAL GROUP

NPI: 1558614115 · BOZEMAN, MT 59718 · General Practice Dentistry · NPI assigned 10/19/2012

$3K
Total Medicaid Paid
83
Total Claims
83
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-02
Last Month

Provider Details

Authorized OfficialSAGER, CORY (PRESIDENT)
NPI Enumeration Date10/19/2012

Related Entities

Other providers sharing the same authorized official: SAGER, CORY

ProviderCityStateTotal Paid
BELGRADE FAMILY DENTAL, P.C. BELGRADE MT $263K
MISSOULA DENTAL, PC MISSOULA MT $134K
KAGY FAMILY DENTAL BOZEMAN MT $124K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 83 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 36 36 $2K
D0120 Periodic oral evaluation - established patient 22 22 $449.77
D0150 Comprehensive oral evaluation - new or established patient 13 13 $438.77
D1120 Prophylaxis - child 12 12 $384.55