MICHAEL LACORTE DENTISTRY, PC
NPI: 1669199105
· SEATTLE, WA 98101
· Dentist
· NPI assigned 10/25/2022
$1.18M
Total Medicaid Paid
Provider Details
| Authorized Official | SPURGEON, PAUL (CREDENTIALING) |
| NPI Enumeration Date | 10/25/2022 |
Related Entities
Other providers sharing the same authorized official: SPURGEON, PAUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
13,750 |
$196K |
| 2024 |
76,034 |
$984K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1351 |
Sealant - per tooth |
23,992 |
3,630 |
$436K |
| D1206 |
Topical application of fluoride varnish |
11,220 |
8,121 |
$210K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
6,131 |
3,262 |
$143K |
| D1120 |
Prophylaxis - child |
6,823 |
3,823 |
$101K |
| D0190 |
|
4,335 |
4,329 |
$58K |
| D2391 |
Resin-based composite - one surface, posterior, primary or permanent |
1,577 |
421 |
$54K |
| D1330 |
|
3,972 |
3,966 |
$38K |
| D1354 |
|
12,449 |
1,797 |
$27K |
| D0220 |
Intraoral - periapical first radiographic image |
5,725 |
3,256 |
$26K |
| D0120 |
Periodic oral evaluation - established patient |
1,126 |
814 |
$26K |
| D0272 |
Bitewings - two radiographic images |
4,333 |
2,454 |
$24K |
| D2392 |
Resin-based composite - two surfaces, posterior, primary or permanent |
662 |
181 |
$20K |
| D0230 |
Intraoral - periapical each additional radiographic image |
6,885 |
3,229 |
$9K |
| D1110 |
Prophylaxis - adult |
160 |
111 |
$5K |
| D0274 |
Bitewings - four radiographic images |
381 |
197 |
$3K |
| D0270 |
|
13 |
13 |
$102.96 |