FREDRICKSON, DENNIS
NPI: 1245369776
· COLUMBIA, IL 62236
· Dentist
· NPI assigned 03/02/2007
$113K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
398 |
$10K |
| 2019 |
556 |
$14K |
| 2021 |
653 |
$19K |
| 2022 |
2,079 |
$60K |
| 2023 |
331 |
$9K |
| 2024 |
24 |
$844.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,000 |
947 |
$39K |
| D0120 |
Periodic oral evaluation - established patient |
977 |
916 |
$27K |
| D1206 |
Topical application of fluoride varnish |
1,003 |
950 |
$24K |
| D1351 |
Sealant - per tooth |
291 |
161 |
$15K |
| D0601 |
|
354 |
341 |
$3K |
| D0602 |
|
247 |
237 |
$3K |
| D0603 |
|
139 |
137 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
30 |
29 |
$324.00 |