Dental
Boedeker, Daniel
Boedeker, Daniel was paid $152K by Medicaid between Sep 2018 and Sep 2023, across 9 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 27% of everything it billed.
33Billing provider infoBOEDEKER, DANIEL
FORT MORGAN, CO 80701
FORT MORGAN, CO 80701
33aNPI1851357149assigned 04/25/2006
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$152K
24GClaims1,323
24DCodes billed9
24AFirst – last monthSep 2018 – Sep 2023
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Colorado
Rank by total paid#31 of 59
Median peer was paid$152K
This provider vs. median1.0×
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 | |
|---|---|---|---|
| 2018 | 257 | $20K | |
| 2019 | 142 | $10K | |
| 2023 | 924 | $122K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 27% | 262 | 108 | $41K |
| D7240 | Removal of impacted tooth - completely bony | 26% | 142 | 42 | $40K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 13% | 100 | 88 | $19K |
| D0330 | Panoramic radiographic image | 11% | 329 | 295 | $17K |
| D9222 | 7.2% | 101 | 89 | $11K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.8% | 225 | 204 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | 4.3% | 68 | 16 | $7K |
| D7230 | 3.5% | 23 | 12 | $5K | |
| D0140 | Limited oral evaluation - problem focused | 1.7% | 73 | 66 | $3K |
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.