Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

BEZEK FAMILY DENTISTRY LLC

NPI: 1588294110 · SAINT CLOUD, MN 56304 · General Practice Dentistry · NPI assigned 01/23/2020

$24K
Total Medicaid Paid
676
Total Claims
670
Beneficiaries
3
Codes Billed
2020-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBEZEK, ANDREW (OWNER)
NPI Enumeration Date01/23/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 39 $856.48
2021 27 $561.79
2022 94 $3K
2023 277 $10K
2024 239 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 236 236 $12K
D0120 Periodic oral evaluation - established patient 415 409 $11K
D0274 Bitewings - four radiographic images 25 25 $946.81