Sibley Dental Suite, PLLC

Sibley Dental Suite, PLLC was paid $14K by Medicaid between May 2022 and Oct 2024, across 6 billing codes. Its largest line is D0120, dental checkup, returning patient — 54% of everything it billed.

33Billing provider infoSIBLEY DENTAL SUITE, PLLC
LITCHFIELD, MN 55355

33aNPI1780738179assigned 01/22/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$14K

24GClaims416

24DCodes billed6

24AFirst – last monthMay 2022 – Oct 2024

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#199 of 368

Median peer was paid$19K

This provider vs. median0.7×

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
2022	26	$913.28
2023	178	$6K
2024incomplete	212	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	54%	228	222	$8K
D1206	Topical application of fluoride varnish	21%	106	103	$3K
D1110	Prophylaxis - adult	15%	41	40	$2K
D0274	Bitewings - four radiographic images	3.6%	15	13	$505.46
D1120	Dental cleaning, childProphylaxis - child	3.2%	13	12	$445.73
D0272	Bitewings - two radiographic images	2.9%	13	12	$413.21

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 officialCZIOK, MICHAEL (OWNER)