Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MT › BIG FORK › JEWEL BASIN DENTISTRY

JEWEL BASIN DENTISTRY

NPI: 1821697921 · BIG FORK, MT 59911 · Dentist · NPI assigned 10/20/2020

$9K
Total Medicaid Paid
290
Total Claims
267
Beneficiaries
5
Codes Billed
2022-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBAGNELL, TIMOTHY (PRESIDENT)
NPI Enumeration Date10/20/2020

Related Entities

Other providers sharing the same authorized official: BAGNELL, TIMOTHY

ProviderCityStateTotal Paid
WESTERN MONTANA FAMILY DENTISTRY RONAN MT $1.15M
BAGNELL DENTAL CLINIC, P.C. FRENCHTOWN MT $101K
RIVER TOWN DENTAL CORPORATION THOMPSON FALLS MT $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 53 $2K
2023 62 $2K
2024 175 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 83 78 $4K
D0120 Periodic oral evaluation - established patient 98 92 $2K
D1206 Topical application of fluoride varnish 79 71 $1K
D0274 Bitewings - four radiographic images 16 13 $442.80
D0150 Comprehensive oral evaluation - new or established patient 14 13 $420.72