Medicaid Provider Spending

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

M. KUCERA, DDS, INC.

NPI: 1669976684 · LINCOLN, CA 95648 · Pediatric Dentist · NPI assigned 03/23/2018

$24K
Total Medicaid Paid
978
Total Claims
934
Beneficiaries
8
Codes Billed
2019-03
First Month
2021-04
Last Month

Provider Details

Authorized OfficialKUCERA, MICHELLE (PRESIDENT)
NPI Enumeration Date03/23/2018

Related Entities

Other providers sharing the same authorized official: KUCERA, MICHELLE

ProviderCityStateTotal Paid
MICHELLE KUCERA, DDS, INC. GRASS VALLEY CA $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 345 $8K
2020 447 $12K
2021 186 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 339 339 $9K
D0120 Periodic oral evaluation - established patient 120 120 $5K
D0150 Comprehensive oral evaluation - new or established patient 61 61 $4K
D1206 Topical application of fluoride varnish 229 229 $3K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 46 41 $2K
D0272 Bitewings - two radiographic images 85 85 $1K
D0230 Intraoral - periapical each additional radiographic image 81 42 $315.90
D1208 Topical application of fluoride, excluding varnish 17 17 $196.00