Stacey, Michael

Stacey, Michael was paid $90K by Medicaid between Jan 2018 and Feb 2020, across 8 billing codes. Its largest line is D0120, dental checkup, returning patient — 24% of everything it billed.

33Billing provider infoSTACEY, MICHAEL
BUNKIE, LA 71322

33aNPI1942204524assigned 06/10/2005

33bProvider typeDentist

28Total paid$90K

24GClaims3,230

24DCodes billed8

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other Dentist providers in Louisiana

Rank by total paid#133 of 251

Median peer was paid$103K

This provider vs. median0.9×

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	1,534	$43K
2019	1,458	$40K
2020	238	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	841	831	$22K
D1110	Prophylaxis - adult	22%	437	430	$19K
D1120	Dental cleaning, childProphylaxis - child	19%	526	522	$17K
D1208	Topical application of fluoride, excluding varnish	16%	768	760	$14K
D0272	Bitewings - two radiographic images	10%	453	450	$9K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	5.4%	152	113	$5K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.0%	22	16	$2K
D0150	Comprehensive oral evaluation - new or established patient	1.6%	31	31	$1K

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.