Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

STICKA DENTAL CLINIC, P.C.

NPI: 1588044721 · DICKINSON, ND 58601 · Dental Clinic/Center · NPI assigned 06/03/2015

$42K
Total Medicaid Paid
1,621
Total Claims
1,402
Beneficiaries
6
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialSTICKA, SAMUEL (OWNER/DENTIST)
NPI Enumeration Date06/03/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 332 $10K
2019 228 $7K
2020 244 $7K
2021 297 $7K
2022 226 $5K
2023 148 $4K
2024 146 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 499 434 $11K
D1206 Topical application of fluoride varnish 559 478 $11K
D0140 Limited oral evaluation - problem focused 275 238 $10K
D1120 Prophylaxis - child 193 171 $6K
D1110 Prophylaxis - adult 42 37 $2K
D0150 Comprehensive oral evaluation - new or established patient 53 44 $2K