Medicaid Provider Spending

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

HARIKA LALA DDS PLLC

NPI: 1295113710 · FORT WORTH, TX 76155 · Dentist · NPI assigned 05/16/2015

$5K
Total Medicaid Paid
448
Total Claims
318
Beneficiaries
6
Codes Billed
2021-01
First Month
2024-06
Last Month

Provider Details

Authorized OfficialLALA, HARIKA (OWNER DENTIST)
NPI Enumeration Date05/16/2015

Related Entities

Other providers sharing the same authorized official: LALA, HARIKA

ProviderCityStateTotal Paid
HARWOOD SMILES PLLC EULESS TX $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 52 $0.00
2022 277 $4K
2023 107 $957.14
2024 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0230 Intraoral - periapical each additional radiographic image 174 44 $2K
D1120 Prophylaxis - child 29 29 $1K
D0120 Periodic oral evaluation - established patient 31 31 $865.50
D1208 Topical application of fluoride, excluding varnish 46 46 $661.50
D0220 Intraoral - periapical first radiographic image 44 44 $527.52
D0602 124 124 $0.00