Ewert, Michael

Ewert, Michael was paid $14K by Medicaid between Apr 2019 and Jan 2020, across 6 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 65% of everything it billed.

33Billing provider infoEWERT, MICHAEL
CRESTLINE, CA 92325

33aNPI1407160658assigned 07/29/2010

33bProvider typeDentist

28Total paid$14K

24GClaims291

24DCodes billed6

24AFirst – last monthApr 2019 – Jan 2020

Compared with peers

Next to other Dentist providers in California

Rank by total paid#1,825 of 2,314

Median peer was paid$185K

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	259	$12K
2020	32	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	65%	142	141	$9K
D0210	Intraoral - complete series of radiographic images	19%	57	57	$3K
D1110	Prophylaxis - adult	7.0%	12	12	$990.00
D1120	Dental cleaning, childProphylaxis - child	6.4%	32	32	$900.00
D1208	Topical application of fluoride, excluding varnish	1.4%	20	20	$203.00
D0230	Intraoral - periapical each additional radiographic image	<1%	28	14	$125.55

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.