Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › GRANDVILLE › BOESCHENSTEIN, JANE

BOESCHENSTEIN, JANE

NPI: 1033380357 · GRANDVILLE, MI 49418 · Dentist · NPI assigned 03/13/2008

$1K
Total Medicaid Paid
36
Total Claims
36
Beneficiaries
3
Codes Billed
2019-03
First Month
2019-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 36 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 12 12 $440.00
D0120 Periodic oral evaluation - established patient 12 12 $308.00
D1206 Topical application of fluoride varnish 12 12 $275.00