Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FREDERICKSON, WAYNE

NPI: 1124172259 · LIVINGSTON, MT 59047 · General Practice Dentistry · NPI assigned 01/23/2007

$30K
Total Medicaid Paid
896
Total Claims
856
Beneficiaries
5
Codes Billed
2018-01
First Month
2023-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 308 $10K
2019 203 $6K
2020 116 $4K
2021 128 $5K
2022 116 $4K
2023 25 $993.76

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 253 228 $12K
D0120 Periodic oral evaluation - established patient 332 326 $8K
D1120 Prophylaxis - child 138 135 $6K
D1206 Topical application of fluoride varnish 133 127 $2K
D0274 Bitewings - four radiographic images 40 40 $1K