Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › HAMILTON › WICKSTRA, DONALD

WICKSTRA, DONALD

NPI: 1871544320 · HAMILTON, MI 49419 · General Practice Dentistry · NPI assigned 05/12/2006

$761.00
Total Medicaid Paid
28
Total Claims
28
Beneficiary Records
1
Codes Billed
2018-04
First Month
2018-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28 $761.00

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0120 Periodic oral evaluation - established patient 28 28 $761.00