Dental
Wick, Mark
Wick, Mark was paid $14K by Medicaid between Jan 2018 and Jun 2018, across 7 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoWICK, MARK
SAVANNAH, MO 64485
SAVANNAH, MO 64485
33aNPI1861697559assigned 06/20/2007
33bProvider typeDentist
28Total paid$14K
24GClaims417
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#209 of 284
Median peer was paid$109K
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 | 417 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 61 | 61 | $3K |
| D1206 | Topical application of fluoride varnish | 21% | 95 | 93 | $3K |
| D0220 | Intraoral - periapical first radiographic image | 20% | 113 | 108 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 60 | 60 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.9% | 57 | 57 | $1K |
| D0140 | Limited oral evaluation - problem focused | 6.9% | 16 | 15 | $993.00 |
| D0272 | Bitewings - two radiographic images | 3.6% | 15 | 15 | $527.00 |
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.