Ryzicka, Thomas

Ryzicka, Thomas was paid $7K by Medicaid between Jan 2018 and Feb 2019, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 32% of everything it billed.

33Billing provider infoRYZICKA, THOMAS
ST LOUIS, MO 63125

33aNPI1417114554assigned 05/16/2008

33bProvider typeDentist

28Total paid$7K

24GClaims358

24DCodes billed8

24AFirst – last monthJan 2018 – Feb 2019

Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#225 of 284

Median peer was paid$109K

This provider vs. median0.1×

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	258	$5K
2019	100	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	32%	102	102	$2K
D1206	Topical application of fluoride varnish	25%	123	123	$2K
D0150	Comprehensive oral evaluation - new or established patient	17%	31	31	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	10%	29	29	$712.00
D0274	Bitewings - four radiographic images	8.7%	28	28	$604.00
D0272	Bitewings - two radiographic images	3.2%	15	15	$225.00
D0230	Intraoral - periapical each additional radiographic image	2.3%	18	12	$160.00
D0220	Intraoral - periapical first radiographic image	1.7%	12	12	$120.00

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.