Dental
Grasvik, Nicholas
Grasvik, Nicholas was paid $3K by Medicaid between Nov 2022 and Aug 2023, across 4 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 43% of everything it billed.
33Billing provider infoGRASVIK, NICHOLAS
MILWAUKIE, OR 97267
MILWAUKIE, OR 97267
33aNPI1225220122assigned 08/14/2007
33bProvider typeDentist
28Total paid$3K
24GClaims162
24DCodes billed4
24AFirst – last monthNov 2022 – Aug 2023
Compared with peers
Next to other Dentist providers in Oregon
Rank by total paid#162 of 233
Median peer was paid$19K
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 55 | $746.00 | |
| 2023 | 107 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 43% | 97 | 97 | $1K |
| D1110 | Prophylaxis - adult | 37% | 39 | 39 | $1K |
| D9310 | 18% | 14 | 14 | $630.00 | |
| D0220 | Intraoral - periapical first radiographic image | 1.9% | 12 | 12 | $65.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.