LARA, SANDRA
NPI: 1760797047
· SAN JOSE, CA 95128
· Dentist
· NPI assigned 08/11/2010
$960K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,724 |
$322K |
| 2019 |
3,244 |
$461K |
| 2020 |
1,032 |
$177K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D3330 |
Endodontic therapy, molar tooth (excluding final restoration) |
1,113 |
1,079 |
$515K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,696 |
2,694 |
$158K |
| D3320 |
|
383 |
361 |
$140K |
| D0210 |
Intraoral - complete series of radiographic images |
2,631 |
2,629 |
$121K |
| D3310 |
|
81 |
64 |
$24K |
| D9430 |
|
15 |
15 |
$480.00 |
| D0220 |
Intraoral - periapical first radiographic image |
43 |
43 |
$410.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
38 |
38 |
$108.00 |