Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Stacey, Richard

Stacey, Richard was paid $230K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.

33Billing provider infoSTACEY, RICHARD
BELLEVUE, NE 68005
33aNPI1871627513assigned 03/15/2007
28Total paid$230K
24GClaims10,403
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in Nebraska

Rank by total paid#35 of 201
Median peer was paid$21K
This provider vs. median11×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,400$30K
20191,187$28K
20201,108$24K
20211,658$32K
20222,152$47K
20231,917$46K
2024incomplete981$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 29% 1,958 1,942 $66K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 23% 2,350 2,332 $53K
D1206 Topical application of fluoride varnish 18% 1,796 1,741 $41K
D0274 Bitewings - four radiographic images 9.4% 1,200 1,192 $22K
D1120 Dental cleaning, childProphylaxis - child 6.7% 584 584 $15K
D1999 5.4% 1,287 1,195 $12K
D0150 Comprehensive oral evaluation - new or established patient 4.6% 445 445 $11K
D0220 Intraoral - periapical first radiographic image 1.3% 494 484 $3K
D7140 Extraction, erupted tooth or exposed root 1.2% 36 12 $3K
D0272 Bitewings - two radiographic images <1% 186 186 $2K
D0140 Limited oral evaluation - problem focused <1% 54 53 $1K
D2150 Silver amalgam - two surfaces, primary or permanent <1% 13 13 $895.31

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.