DRS. Wagoner & Wagoner, PC

DRS. Wagoner & Wagoner, PC was paid $62K by Medicaid between Mar 2018 and Nov 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.

33Billing provider infoDRS. WAGONER & WAGONER, PC
FLORA, IN 46929

33aNPI1932318995assigned 05/22/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$62K

24GClaims2,009

24DCodes billed11

24AFirst – last monthMar 2018 – Nov 2024

Compared with peers

Next to other General Practice Dentistry providers in Indiana

Rank by total paid#361 of 723

Median peer was paid$60K

This provider vs. median1.0×

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	102	$71.00
2019	140	$5K
2020	130	$3K
2021	269	$7K
2022	506	$18K
2023	519	$17K
2024incomplete	343	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	34%	409	382	$21K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	658	611	$14K
D1206	Topical application of fluoride varnish	15%	481	454	$9K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	9.1%	75	39	$6K
D0274	Bitewings - four radiographic images	7.6%	149	139	$5K
D0150	Comprehensive oral evaluation - new or established patient	6.1%	124	120	$4K
D0140	Limited oral evaluation - problem focused	2.7%	46	44	$2K
D0330	Panoramic radiographic image	1.8%	26	24	$1K
D1120	Dental cleaning, childProphylaxis - child	<1%	12	12	$414.00
D0220	Intraoral - periapical first radiographic image	<1%	12	12	$173.61
D1999		<1%	17	15	$10.00

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.

From NPPES

Who's on the registration

Authorized officialWAGONER, GORDON (PRESIDENT)