Lara, Sandra

Lara, Sandra was paid $960K by Medicaid between Jan 2018 and Jun 2020, across 8 billing codes. Its largest line is D3330, Endodontic therapy, molar tooth (excluding final restoration) — 54% of everything it billed.

33Billing provider infoLARA, SANDRA
SAN JOSE, CA 95128

33aNPI1760797047assigned 08/11/2010

33bProvider typeDentist

28Total paid$960K

24GClaims7,000

24DCodes billed8

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Dentist providers in California

Rank by total paid#516 of 2,314

Median peer was paid$185K

This provider vs. median5.2×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	2,724	$322K
2019	3,244	$461K
2020	1,032	$177K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D3330	Endodontic therapy, molar tooth (excluding final restoration)	54%	1,113	1,079	$515K
D0150	Comprehensive oral evaluation - new or established patient	16%	2,696	2,694	$158K
D3320		15%	383	361	$140K
D0210	Intraoral - complete series of radiographic images	13%	2,631	2,629	$121K
D3310		2.5%	81	64	$24K
D9430		<1%	15	15	$480.00
D0220	Intraoral - periapical first radiographic image	<1%	43	43	$410.00
D0230	Intraoral - periapical each additional radiographic image	<1%	38	38	$108.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.