Clinic
Lucachick Dental Office, P.A.
Lucachick Dental Office, P.A. was paid $356K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.
33Billing provider infoLUCACHICK DENTAL OFFICE, P.A.
INTERNATIONAL FALLS, MN 56649
INTERNATIONAL FALLS, MN 56649
33aNPI1346307394assigned 01/02/2007
33bProvider typeDental Clinic/Center
28Total paid$356K
24GClaims10,529
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Minnesota
Rank by total paid#57 of 148
Median peer was paid$70K
This provider vs. median5.1×
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 | |
|---|---|---|---|
| 2018 | 1,727 | $6K | |
| 2019 | 2,182 | $95K | |
| 2020 | 1,370 | $52K | |
| 2021 | 1,471 | $55K | |
| 2022 | 1,284 | $50K | |
| 2023 | 1,364 | $53K | |
| 2024incomplete | 1,131 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 24% | 1,752 | 1,734 | $86K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 3,190 | 3,156 | $85K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 1,272 | 1,264 | $41K |
| D7140 | Extraction, erupted tooth or exposed root | 9.2% | 466 | 217 | $33K |
| D0272 | Bitewings - two radiographic images | 7.7% | 1,070 | 1,058 | $27K |
| D0330 | Panoramic radiographic image | 6.0% | 386 | 375 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.9% | 459 | 277 | $21K |
| D1206 | Topical application of fluoride varnish | 5.5% | 1,434 | 1,423 | $19K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 170 | 100 | $6K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.6% | 62 | 37 | $6K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 114 | 113 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 90 | 78 | $3K |
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 officialLUCACHICK, GARY (OWNER DENTIST PRESIDENT)