Dental
Boeschenstein, Jane
Boeschenstein, Jane was paid $1K by Medicaid between Mar 2019 and Mar 2019, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 43% of everything it billed.
33Billing provider infoBOESCHENSTEIN, JANE
GRANDVILLE, MI 49418
GRANDVILLE, MI 49418
33aNPI1033380357assigned 03/13/2008
33bProvider typeDentist
28Total paid$1K
24GClaims36
24DCodes billed3
24AFirst – last monthMar 2019 – Mar 2019
Compared with peers
Next to other Dentist providers in Michigan
Rank by total paid#893 of 1,033
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 | |
|---|---|---|---|
| 2019 | 36 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 43% | 12 | 12 | $440.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 30% | 12 | 12 | $308.00 |
| D1206 | Topical application of fluoride varnish | 27% | 12 | 12 | $275.00 |
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.