Medicaid Provider Spending

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

LULU'S DENTAL INC

NPI: 1093597189 · BELMONT, CA 94002 · Pediatric Dentist · NPI assigned 10/16/2023

$27K
Total Medicaid Paid
433
Total Claims
402
Beneficiaries
8
Codes Billed
2024-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBARAKAT, NADIA (PRESIDENT)
NPI Enumeration Date10/16/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 433 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 70 70 $5K
D1206 Topical application of fluoride varnish 90 88 $5K
D1310 84 84 $5K
D0150 Comprehensive oral evaluation - new or established patient 28 28 $4K
D0240 78 49 $4K
D0220 Intraoral - periapical first radiographic image 49 49 $2K
D0272 Bitewings - two radiographic images 15 15 $870.00
D0603 19 19 $351.00