Gagnon, Shanna

Gagnon, Shanna was paid $4K by Medicaid between Jan 2018 and Jul 2019, across 3 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 50% of everything it billed.

33Billing provider infoGAGNON, SHANNA
FARMINGDALE, ME 04344

33aNPI1700810389assigned 07/10/2006

33bProvider typeDentist

28Total paid$4K

24GClaims283

24DCodes billed3

24AFirst – last monthJan 2018 – Jul 2019

Compared with peers

Next to other Dentist providers in Maine

Rank by total paid#27 of 36

Median peer was paid$11K

This provider vs. median0.4×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	192	$3K
2019	91	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	50%	206	201	$2K
D1120	Dental cleaning, childProphylaxis - child	31%	51	50	$1K
D1110	Prophylaxis - adult	19%	26	25	$840.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.