Medicaid Provider Spending

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

L & A INVESTMENTS

NPI: 1760857742 · SAND SPRINGS, OK 74063 · Dental Clinic/Center · NPI assigned 12/02/2015

$85K
Total Medicaid Paid
4,356
Total Claims
3,915
Beneficiaries
11
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialARIANA, CATHY (OWNER)
NPI Enumeration Date12/02/2015

Related Entities

Other providers sharing the same authorized official: ARIANA, CATHY

ProviderCityStateTotal Paid
REFRESH DENTISTRY BROKEN ARROW OK $506.15

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 482 $7K
2019 591 $12K
2020 438 $7K
2021 806 $15K
2022 1,105 $26K
2023 552 $11K
2024 382 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1206 Topical application of fluoride varnish 1,110 1,110 $18K
D0120 Periodic oral evaluation - established patient 684 684 $14K
D0220 Intraoral - periapical first radiographic image 740 736 $11K
D1120 Prophylaxis - child 357 357 $11K
D1110 Prophylaxis - adult 150 150 $7K
D0230 Intraoral - periapical each additional radiographic image 864 448 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 48 27 $5K
D0274 Bitewings - four radiographic images 170 170 $5K
D0150 Comprehensive oral evaluation - new or established patient 142 142 $4K
D0330 Panoramic radiographic image 79 79 $4K
D0140 Limited oral evaluation - problem focused 12 12 $338.80