Medicaid Provider Spending

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

DR. FERNAND S. LACAYANGA D.M.D INC

NPI: 1508552423 · LA MESA, CA 91942 · Dental Clinic/Center · NPI assigned 04/13/2023

$11K
Total Medicaid Paid
197
Total Claims
197
Beneficiaries
3
Codes Billed
2023-06
First Month
2023-11
Last Month

Provider Details

Authorized OfficialLACAYANGA, FERNAND (PRESIDENT)
NPI Enumeration Date04/13/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 197 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 102 102 $7K
D0210 Intraoral - complete series of radiographic images 82 82 $4K
D1206 Topical application of fluoride varnish 13 13 $200.00