Dental
Fried, Jake
Fried, Jake was paid $18K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is D1120, dental cleaning, child — 44% of everything it billed.
33Billing provider infoFRIED, JAKE
BALLSTON LAKE, NY 12019
BALLSTON LAKE, NY 12019
33aNPI1063834299assigned 01/07/2014
33bProvider typePediatric Dentist
28Total paid$18K
24GClaims612
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#408 of 514
Median peer was paid$196K
This provider vs. median0.1×
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 | 155 | $4K | |
| 2020 | 14 | $566.76 | |
| 2021 | 169 | $5K | |
| 2022 | 79 | $2K | |
| 2023 | 25 | $430.20 | |
| 2024incomplete | 170 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 44% | 191 | 191 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 37% | 260 | 260 | $7K |
| D1206 | Topical application of fluoride varnish | 12% | 74 | 74 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 6.5% | 87 | 87 | $1K |
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.