Medicaid Provider Spending

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

GARY A. SCHLUCKEBIER, DDS, PLLC

NPI: 1053731695 · ITHACA, MI 48847 · General Practice Dentistry · NPI assigned 04/22/2014

$69K
Total Medicaid Paid
2,487
Total Claims
2,472
Beneficiaries
9
Codes Billed
2020-06
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSCHLUCKEBIER, GARY (OWNER DENTIST)
NPI Enumeration Date04/22/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 339 $10K
2021 591 $16K
2022 549 $15K
2023 734 $21K
2024 274 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 516 516 $26K
D0120 Periodic oral evaluation - established patient 716 716 $19K
D0220 Intraoral - periapical first radiographic image 575 569 $9K
D1206 Topical application of fluoride varnish 148 148 $4K
D0230 Intraoral - periapical each additional radiographic image 332 323 $3K
D0274 Bitewings - four radiographic images 88 88 $3K
D0150 Comprehensive oral evaluation - new or established patient 53 53 $2K
D1120 Prophylaxis - child 47 47 $2K
D0210 Intraoral - complete series of radiographic images 12 12 $960.00