Medicaid Provider Spending

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

LANTERN DENTAL CLINIC INC

NPI: 1871690818 · DESOTO, TX 75115 · General Practice Dentistry · NPI assigned 09/20/2006

$857.40
Total Medicaid Paid
58
Total Claims
52
Beneficiaries
3
Codes Billed
2020-12
First Month
2023-08
Last Month

Provider Details

Authorized OfficialLAWAL-SOLARIN, SAHEED (DIRECTOR/OWNER/PRESIDENT)
NPI Enumeration Date09/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 32 $548.60
2021 12 $308.80
2023 14 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 29 26 $681.00
D1208 Topical application of fluoride, excluding varnish 15 13 $176.40
D0602 14 13 $0.00