Medicaid Provider Spending

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

A. LAVAR HALL D.D.S., INC

NPI: 1053577460 · GREENFIELD, OH 45123 · Dentist · NPI assigned 08/05/2008

$15K
Total Medicaid Paid
638
Total Claims
638
Beneficiaries
7
Codes Billed
2018-03
First Month
2023-08
Last Month

Provider Details

Authorized OfficialHALL, ANTONE (PRESIDENT)
NPI Enumeration Date08/05/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 274 $6K
2019 177 $4K
2021 39 $668.81
2022 94 $2K
2023 54 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 302 302 $5K
D1110 Prophylaxis - adult 98 98 $3K
D0150 Comprehensive oral evaluation - new or established patient 58 58 $2K
D1120 Prophylaxis - child 65 65 $1K
D0330 Panoramic radiographic image 25 25 $1K
D0140 Limited oral evaluation - problem focused 38 38 $868.99
D1208 Topical application of fluoride, excluding varnish 52 52 $819.00