JAMES LAGATTA DDS INC
NPI: 1164055703
· PICO RIVERA, CA 90660
· General Practice Dentistry
· NPI assigned 02/21/2020
$425K
Total Medicaid Paid
Provider Details
| Authorized Official | LAGATTA, JOSH (PRESIDENT) |
| NPI Enumeration Date | 02/21/2020 |
Related Entities
Other providers sharing the same authorized official: LAGATTA, JOSH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
896 |
$29K |
| 2021 |
3,078 |
$107K |
| 2022 |
3,148 |
$112K |
| 2023 |
2,970 |
$105K |
| 2024 |
1,895 |
$71K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,953 |
1,952 |
$88K |
| D0120 |
Periodic oral evaluation - established patient |
1,075 |
1,074 |
$80K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
994 |
994 |
$66K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,811 |
2,804 |
$46K |
| D0230 |
Intraoral - periapical each additional radiographic image |
1,743 |
1,739 |
$36K |
| D1310 |
|
516 |
515 |
$23K |
| D2150 |
Silver amalgam - two surfaces, primary or permanent |
266 |
123 |
$18K |
| D1110 |
Prophylaxis - adult |
168 |
168 |
$15K |
| D0220 |
Intraoral - periapical first radiographic image |
838 |
835 |
$10K |
| D9993 |
|
150 |
150 |
$10K |
| D0603 |
|
430 |
429 |
$6K |
| D1351 |
Sealant - per tooth |
235 |
58 |
$6K |
| D2140 |
|
101 |
59 |
$6K |
| D0210 |
Intraoral - complete series of radiographic images |
114 |
114 |
$5K |
| D0350 |
|
269 |
263 |
$5K |
| D0272 |
Bitewings - two radiographic images |
251 |
251 |
$3K |
| D0274 |
Bitewings - four radiographic images |
47 |
47 |
$993.60 |
| D9430 |
|
12 |
12 |
$384.00 |
| D0601 |
|
14 |
14 |
$210.00 |