FREDRICKSON, LISA
NPI: 1023576493
· WINDSOR, CT 06095
· General Practice Dentistry
· NPI assigned 03/05/2019
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,206 |
$0.00 |
| 2022 |
705 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1208 |
Topical application of fluoride, excluding varnish |
574 |
573 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
488 |
487 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
252 |
250 |
$0.00 |
| D1120 |
Prophylaxis - child |
584 |
583 |
$0.00 |
| D0330 |
Panoramic radiographic image |
13 |
13 |
$0.00 |