Medicaid Provider Spending

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

HAMILTON DENTISTRY PLLC

NPI: 1821302399 · HAMILTON, MI 49419 · General Practice Dentistry · NPI assigned 07/27/2010

$95K
Total Medicaid Paid
2,981
Total Claims
2,978
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialWICKSTRA, BENJAMIN (PARTNER)
NPI Enumeration Date07/27/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 60 $1K
2019 323 $9K
2020 391 $10K
2021 410 $11K
2022 467 $12K
2023 791 $30K
2024 539 $21K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 973 971 $43K
D0120 Periodic oral evaluation - established patient 1,507 1,506 $36K
D1120 Prophylaxis - child 152 152 $6K
D0274 Bitewings - four radiographic images 157 157 $5K
D1206 Topical application of fluoride varnish 192 192 $4K