Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › CAMDEN › DIETRICH, FRED

DIETRICH, FRED

NPI: 1356358170 · CAMDEN, AR 71701 · General Practice Dentistry · NPI assigned 08/02/2006

$878.20
Total Medicaid Paid
33
Total Claims
28
Beneficiaries
1
Codes Billed
2018-02
First Month
2018-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 33 $878.20

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 Periodic oral evaluation - established patient 33 28 $878.20