Frederickson, Wayne

Frederickson, Wayne was paid $30K by Medicaid between Jan 2018 and May 2023, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.

33Billing provider infoFREDERICKSON, WAYNE
LIVINGSTON, MT 59047

33aNPI1124172259assigned 01/23/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$30K

24GClaims896

24DCodes billed5

24AFirst – last monthJan 2018 – May 2023

Compared with peers

Next to other General Practice Dentistry providers in Montana

Rank by total paid#83 of 149

Median peer was paid$40K

This provider vs. median0.7×

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	308	$10K
2019	203	$6K
2020	116	$4K
2021	128	$5K
2022	116	$4K
2023	25	$993.76

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	40%	253	228	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	28%	332	326	$8K
D1120	Dental cleaning, childProphylaxis - child	19%	138	135	$6K
D1206	Topical application of fluoride varnish	8.4%	133	127	$2K
D0274	Bitewings - four radiographic images	4.9%	40	40	$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.