Dental
Wickstra, Benjamin
Wickstra, Benjamin was paid $2K by Medicaid between Feb 2018 and Dec 2018, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 74% of everything it billed.
33Billing provider infoWICKSTRA, BENJAMIN
HAMILTON, MI 49419
HAMILTON, MI 49419
33aNPI1770763583assigned 11/08/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$2K
24GClaims90
24DCodes billed2
24AFirst – last monthFeb 2018 – Dec 2018
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#1,159 of 1,554
Median peer was paid$15K
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 | 90 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 74% | 66 | 66 | $2K |
| D1206 | Topical application of fluoride varnish | 26% | 24 | 24 | $526.40 |
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.