LAGUNA DENTAL AND ORTHODONTICS, PLLC
NPI: 1316493844
· AUSTIN, TX 78704
· Orthodontics and Dentofacial Orthopedic Dentist
· NPI assigned 08/25/2016
$192K
Total Medicaid Paid
Provider Details
| Authorized Official | GANESH, RAMIRO (ASSOCIATE) |
| NPI Enumeration Date | 08/25/2016 |
Related Entities
Other providers sharing the same authorized official: GANESH, RAMIRO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
504 |
$13K |
| 2021 |
3,082 |
$59K |
| 2022 |
3,106 |
$53K |
| 2023 |
3,192 |
$43K |
| 2024 |
1,582 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0145 |
Oral evaluation for a patient under three years of age |
375 |
369 |
$51K |
| D0230 |
Intraoral - periapical each additional radiographic image |
3,430 |
1,057 |
$34K |
| D0120 |
Periodic oral evaluation - established patient |
1,031 |
1,005 |
$28K |
| D1120 |
Prophylaxis - child |
625 |
611 |
$22K |
| D1208 |
Topical application of fluoride, excluding varnish |
1,565 |
1,523 |
$22K |
| D0220 |
Intraoral - periapical first radiographic image |
1,180 |
1,124 |
$13K |
| D1110 |
Prophylaxis - adult |
226 |
218 |
$11K |
| D1351 |
Sealant - per tooth |
219 |
54 |
$5K |
| D0274 |
Bitewings - four radiographic images |
140 |
137 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
27 |
25 |
$798.24 |
| D0210 |
Intraoral - complete series of radiographic images |
17 |
16 |
$706.29 |
| D0603 |
|
2,631 |
2,567 |
$0.06 |