Medicaid Provider Spending

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

GORDON, BRANDON

NPI: 1992968804 · IDAHO FALLS, ID 83406 · Dentist · NPI assigned 07/10/2008

$71K
Total Medicaid Paid
2,962
Total Claims
2,816
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-08
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 461 $10K
2019 363 $8K
2020 600 $16K
2021 383 $8K
2022 510 $12K
2023 533 $14K
2024 112 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 623 622 $37K
D1120 Prophylaxis - child 343 343 $18K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 314 171 $15K
D0150 Comprehensive oral evaluation - new or established patient 12 12 $424.28
D0274 Bitewings - four radiographic images 157 157 $412.14
D0120 Periodic oral evaluation - established patient 1,389 1,387 $387.21
D1206 Topical application of fluoride varnish 94 94 $0.00
D0272 Bitewings - two radiographic images 30 30 $0.00