LANCE D. HAMILTON, D.D.S., INC.
NPI: 1972704740
· COSTA MESA, CA 92627
· General Practice Dentistry
· NPI assigned 05/30/2007
$675K
Total Medicaid Paid
Provider Details
| Authorized Official | HAMILTON, LANCE (OWNER/DENTIST) |
| NPI Enumeration Date | 05/30/2007 |
Related Entities
Other providers sharing the same authorized official: HAMILTON, LANCE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,982 |
$69K |
| 2019 |
2,764 |
$78K |
| 2020 |
2,481 |
$66K |
| 2021 |
2,545 |
$71K |
| 2022 |
3,436 |
$137K |
| 2023 |
3,447 |
$142K |
| 2024 |
2,724 |
$111K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,790 |
1,780 |
$150K |
| D0120 |
Periodic oral evaluation - established patient |
2,104 |
2,091 |
$129K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,071 |
1,069 |
$64K |
| D2740 |
Crown - porcelain/ceramic |
119 |
91 |
$56K |
| D0210 |
Intraoral - complete series of radiographic images |
1,154 |
1,149 |
$53K |
| D4910 |
|
537 |
537 |
$41K |
| D1208 |
Topical application of fluoride, excluding varnish |
2,863 |
2,846 |
$36K |
| D0274 |
Bitewings - four radiographic images |
1,480 |
1,470 |
$32K |
| D1120 |
Prophylaxis - child |
836 |
831 |
$30K |
| D9430 |
|
743 |
669 |
$23K |
| D0220 |
Intraoral - periapical first radiographic image |
1,894 |
1,744 |
$22K |
| D0230 |
Intraoral - periapical each additional radiographic image |
5,158 |
2,582 |
$21K |
| D2393 |
Resin-based composite - three surfaces, posterior, primary or permanent |
69 |
40 |
$5K |
| D1351 |
Sealant - per tooth |
170 |
28 |
$3K |
| D4341 |
|
46 |
12 |
$3K |
| D0350 |
|
298 |
149 |
$3K |
| D2952 |
|
15 |
12 |
$2K |
| D0272 |
Bitewings - two radiographic images |
32 |
32 |
$381.00 |