Clinic
Donna L Rick DDS PC
Donna L Rick DDS PC was paid $805.70 by Medicaid between Aug 2020 and Oct 2020, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 73% of everything it billed.
33Billing provider infoDONNA L RICK DDS PC
FRUITPORT, MI 49415
FRUITPORT, MI 49415
33aNPI1427675396assigned 06/26/2020
33bProvider typeDental Clinic/Center
28Total paid$805.70
24GClaims40
24DCodes billed2
24AFirst – last monthAug 2020 – Oct 2020
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#380 of 431
Median peer was paid$24K
This provider vs. median0.0×
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 | 40 | $805.70 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 73% | 28 | 28 | $588.91 |
| D1208 | Topical application of fluoride, excluding varnish | 27% | 12 | 12 | $216.79 |
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 officialRICK, DONNA (PRESIDENT)