Wagner, Frederic

Wagner, Frederic was paid $5K by Medicaid between Mar 2018 and Aug 2019, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.

33Billing provider infoWAGNER, FREDERIC
CHARLOTTE, MI 48813

33aNPI1043359417assigned 02/05/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$5K

24GClaims236

24DCodes billed7

24AFirst – last monthMar 2018 – Aug 2019

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#960 of 1,554

Median peer was paid$15K

This provider vs. median0.4×

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	152	$4K
2019	84	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	33%	69	69	$2K
D1110	Prophylaxis - adult	22%	29	27	$1K
D1120	Dental cleaning, childProphylaxis - child	13%	18	18	$720.00
D0220	Intraoral - periapical first radiographic image	12%	43	42	$632.00
D0230	Intraoral - periapical each additional radiographic image	7.2%	48	25	$390.00
D1208	Topical application of fluoride, excluding varnish	7.1%	16	16	$384.00
D1206	Topical application of fluoride varnish	5.6%	13	13	$300.00

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.