Dental
Fredrickson, Dennis
Fredrickson, Dennis was paid $113K by Medicaid between Feb 2018 and Aug 2024, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 35% of everything it billed.
33Billing provider infoFREDRICKSON, DENNIS
COLUMBIA, IL 62236
COLUMBIA, IL 62236
33aNPI1245369776assigned 03/02/2007
33bProvider typeDentist
28Total paid$113K
24GClaims4,041
24DCodes billed8
24AFirst – last monthFeb 2018 – Aug 2024
Compared with peers
Next to other Dentist providers in Illinois
Rank by total paid#610 of 1,099
Median peer was paid$160K
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 | 398 | $10K | |
| 2019 | 556 | $14K | |
| 2021 | 653 | $19K | |
| 2022 | 2,079 | $60K | |
| 2023 | 331 | $9K | |
| 2024incomplete | 24 | $844.20 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 35% | 1,000 | 947 | $39K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 977 | 916 | $27K |
| D1206 | Topical application of fluoride varnish | 21% | 1,003 | 950 | $24K |
| D1351 | Sealant - per tooth | 13% | 291 | 161 | $15K |
| D0601 | 3.0% | 354 | 341 | $3K | |
| D0602 | 2.3% | 247 | 237 | $3K | |
| D0603 | 1.6% | 139 | 137 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 30 | 29 | $324.00 |
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.