Dental
Wickstra, Donald
Wickstra, Donald was paid $761.00 by Medicaid between Apr 2018 and Dec 2018, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoWICKSTRA, DONALD
HAMILTON, MI 49419
HAMILTON, MI 49419
33aNPI1871544320assigned 05/12/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$761.00
24GClaims28
24DCodes billed1
24AFirst – last monthApr 2018 – Dec 2018
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#1,342 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 | 28 | $761.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 28 | 28 | $761.00 |
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.