Dietrich, Fred

Dietrich, Fred was paid $878.20 by Medicaid between Feb 2018 and Mar 2018, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.

33Billing provider infoDIETRICH, FRED
CAMDEN, AR 71701

33aNPI1356358170assigned 08/02/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$878.20

24GClaims33

24DCodes billed1

24AFirst – last monthFeb 2018 – Mar 2018

Compared with peers

Next to other General Practice Dentistry providers in Arkansas

Rank by total paid#378 of 401

Median peer was paid$36K

This provider vs. median0.0×

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	33	$878.20

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	100%	33	28	$878.20

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.