Clinic
Andrew Van Sicklen DDS INC.
Andrew Van Sicklen DDS INC. was paid $4.82M by Medicaid between Oct 2020 and Dec 2024, across 28 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoANDREW VAN SICKLEN DDS INC.
SANTA MARIA, CA 93455
SANTA MARIA, CA 93455
33aNPI1306470711assigned 02/25/2020
33bProvider typeDental Clinic/Center
28Total paid$4.82M
24GClaims146,543
24DCodes billed28
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in California
Rank by total paid#67 of 1,135
Median peer was paid$200K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2020 | 800 | $26K | |
| 2021 | 12,671 | $442K | |
| 2022 | 33,686 | $1.12M | |
| 2023 | 44,670 | $1.50M | |
| 2024incomplete | 54,716 | $1.74M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 13,956 | 13,848 | $707K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 8,843 | 8,775 | $592K |
| D1310 | 9.1% | 9,555 | 9,482 | $438K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.7% | 3,117 | 1,751 | $371K |
| D1206 | Topical application of fluoride varnish | 6.4% | 13,701 | 13,595 | $310K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.6% | 4,022 | 2,351 | $268K |
| D1351 | Sealant - per tooth | 5.2% | 6,927 | 2,732 | $249K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.7% | 5,707 | 5,398 | $227K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 3,281 | 3,257 | $225K |
| D2335 | 4.5% | 1,818 | 1,130 | $215K | |
| D0145 | Oral evaluation for a patient under three years of age | 3.3% | 2,267 | 2,247 | $157K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.1% | 1,543 | 982 | $152K |
16 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 35,013 | $145K |
| D7140 | Extraction, erupted tooth or exposed root | 2.6% | 2,223 | $126K |
| D0603 | 2.4% | 7,684 | $115K | |
| D1354 | 1.6% | 6,972 | $79K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 1,436 | $78K |
| D2330 | 1.5% | 928 | $72K | |
| D0350 | 1.4% | 6,704 | $69K | |
| D0272 | Bitewings - two radiographic images | 1.3% | 5,105 | $61K |
| D9993 | 1.1% | 832 | $53K | |
| D0274 | Bitewings - four radiographic images | <1% | 1,824 | $39K |
| D0601 | <1% | 1,805 | $27K | |
| D9430 | <1% | 642 | $21K | |
| D9420 | <1% | 123 | $12K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 123 | $10K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 359 | $4K |
| D2941 | <1% | 33 | $1K |
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.
From NPPES
Who's on the registration
Authorized officialVAN SICKLEN, ANDREW (OWNER)