Vidyakin, Stas

Vidyakin, Stas was paid $57K by Medicaid between Sep 2019 and Jul 2020, across 10 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 17% of everything it billed.

33Billing provider infoVIDYAKIN, STAS
SIKESTON, MO 63801

33aNPI1285292193assigned 06/05/2019

33bProvider typeGeneral Practice Dentistry

28Total paid$57K

24GClaims1,711

24DCodes billed10

24AFirst – last monthSep 2019 – Jul 2020

Compared with peers

Next to other General Practice Dentistry providers in Missouri

Rank by total paid#149 of 260

Median peer was paid$78K

This provider vs. median0.7×

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
2019	491	$5K
2020	1,220	$52K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	17%	423	420	$9K
D1120	Dental cleaning, childProphylaxis - child	17%	278	275	$9K
D1110	Prophylaxis - adult	16%	143	143	$9K
D0330	Panoramic radiographic image	13%	99	99	$7K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	12%	250	249	$7K
D0272	Bitewings - two radiographic images	8.6%	223	222	$5K
D0274	Bitewings - four radiographic images	7.7%	96	96	$4K
D0150	Comprehensive oral evaluation - new or established patient	5.9%	109	108	$3K
D0220	Intraoral - periapical first radiographic image	3.6%	77	77	$2K
D0140	Limited oral evaluation - problem focused	<1%	13	13	$482.00

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.