Dental
Fredrickson, Lisa
Fredrickson, Lisa was paid $0.00 by Medicaid between Apr 2021 and Jun 2022, across 5 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 0% of everything it billed.
33Billing provider infoFREDRICKSON, LISA
WINDSOR, CT 06095
WINDSOR, CT 06095
33aNPI1023576493assigned 03/05/2019
33bProvider typeGeneral Practice Dentistry
28Total paid$0.00
24GClaims1,911
24DCodes billed5
24AFirst – last monthApr 2021 – Jun 2022
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#405 of 431
Median peer was paid$79K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 1,206 | $0.00 | |
| 2022 | 705 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 0% | 574 | 573 | $0.00 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 488 | 487 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 252 | 250 | $0.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 0% | 584 | 583 | $0.00 |
| D0330 | Panoramic radiographic image | 0% | 13 | 13 | $0.00 |
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.