Medicaid Provider Spending

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

HEALTH AND LIFE ORGANIZATION, INC. (H.A.L.O.)

NPI: 1598301921 · NORTH HIGHLANDS, CA 95660 · Federally Qualified Health Center (FQHC) · NPI assigned 11/20/2019

Deactivated NPI · This NPI was deactivated on 03/14/2022. Reactivated 03/30/2022.
$0.00
Total Medicaid Paid
1,238
Total Claims
1,103
Beneficiaries
13
Codes Billed
2021-07
First Month
2022-07
Last Month

Provider Details

Authorized OfficialBLIATOUT, JERRY (CEO)
NPI Enumeration Date11/20/2019

Related Entities

Other providers sharing the same authorized official: BLIATOUT, JERRY

ProviderCityStateTotal Paid
HEALTH AND LIFE ORGANIZATION, INC SACRAMENTO CA $35.85M
HEALTH AND LIFE ORGANIZATION, INC SACRAMENTO CA $23.88M
HEALTH AND LIFE ORGANIZATION, INC. SACRAMENTO CA $9.14M
HEALTH AND LIFE ORGANIZATION, INC. SACRAMENTO CA $7.03M
HEALTH AND LIFE ORGANIZATION, INC SACRAMENTO CA $6.80M
HEALTH AND LIFE ORGANIZATION, INC. SACRAMENTO CA $3.25M
HEALTH AND LIFE ORGANIZATION, INC. SACRAMENTO CA $1.20M
HEALTH AND LIFE ORGANIZATION, INC. SACRAMENTO CA $873K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 203 $0.00
2022 1,035 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 98 98 $0.00
D0220 Intraoral - periapical first radiographic image 225 172 $0.00
D2391 Resin-based composite - one surface, posterior, primary or permanent 59 53 $0.00
D9430 57 56 $0.00
D0274 Bitewings - four radiographic images 27 27 $0.00
D0120 Periodic oral evaluation - established patient 71 71 $0.00
D1206 Topical application of fluoride varnish 193 193 $0.00
D7140 Extraction, erupted tooth or exposed root 46 41 $0.00
D0150 Comprehensive oral evaluation - new or established patient 115 115 $0.00
D0210 Intraoral - complete series of radiographic images 74 74 $0.00
D0230 Intraoral - periapical each additional radiographic image 163 93 $0.00
D0603 77 77 $0.00
D0602 33 33 $0.00