Medicaid Provider Spending

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

MCGOWAN, MARK

NPI: 1659661288 · BOUNTIFUL, UT 84010 · General Practice Dentistry · NPI assigned 04/16/2011

$2K
Total Medicaid Paid
144
Total Claims
144
Beneficiaries
6
Codes Billed
2018-03
First Month
2018-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 144 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 15 15 $2K
D0220 Intraoral - periapical first radiographic image 47 47 $255.18
D0274 Bitewings - four radiographic images 26 26 $109.29
D1110 Prophylaxis - adult 14 14 $73.14
D1330 15 15 $0.00
D0230 Intraoral - periapical each additional radiographic image 27 27 $0.00