Medicaid Provider Spending

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

GAGNON, PAUL

NPI: 1699811463 · POCATELLO, ID 83201 · Dentist · NPI assigned 01/29/2007

$3K
Total Medicaid Paid
189
Total Claims
170
Beneficiaries
6
Codes Billed
2020-01
First Month
2022-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 91 $2K
2021 84 $249.72
2022 14 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 25 25 $2K
D7140 Extraction, erupted tooth or exposed root 27 12 $700.82
D0140 Limited oral evaluation - problem focused 28 27 $223.09
D0220 Intraoral - periapical first radiographic image 83 80 $26.63
D0274 Bitewings - four radiographic images 12 12 $0.00
D0230 Intraoral - periapical each additional radiographic image 14 14 $0.00