Medicaid Provider Spending

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

BOEKWEG, EZRA

NPI: 1750653499 · BELLMEAD, TX 76705 · Dentist · NPI assigned 01/26/2012

$2K
Total Medicaid Paid
179
Total Claims
176
Beneficiaries
4
Codes Billed
2021-01
First Month
2022-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 126 $1K
2022 53 $367.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1208 Topical application of fluoride, excluding varnish 72 69 $908.46
D1120 Prophylaxis - child 12 12 $396.91
D0120 Periodic oral evaluation - established patient 12 12 $314.47
D0603 83 83 $0.00