Dental
Frederick, D.
Frederick, D. was paid $407K by Medicaid between Oct 2020 and Nov 2021, across 20 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 20% of everything it billed.
33Billing provider infoFREDERICK, D.
WILKES BARRE, PA 18701
WILKES BARRE, PA 18701
33aNPI1548395023assigned 02/23/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$407K
24GClaims10,855
24DCodes billed20
24AFirst – last monthOct 2020 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#83 of 847
Median peer was paid$37K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2020 | 1,460 | $53K | |
| 2021 | 9,395 | $354K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 20% | 1,249 | 402 | $80K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 1,150 | 494 | $67K |
| D1110 | Prophylaxis - adult | 11% | 1,260 | 1,255 | $44K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.8% | 495 | 308 | $32K |
| D0274 | Bitewings - four radiographic images | 7.5% | 1,115 | 1,112 | $30K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.3% | 1,246 | 1,243 | $26K |
| D0330 | Panoramic radiographic image | 6.0% | 674 | 671 | $24K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.3% | 439 | 224 | $22K |
| D2332 | 4.9% | 320 | 149 | $20K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 674 | 670 | $13K |
| D1351 | Sealant - per tooth | 3.0% | 495 | 68 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 2.5% | 562 | 560 | $10K |
8 more codes
| D1120 | Dental cleaning, child | 2.2% | 305 | $9K |
| D9110 | 1.5% | 210 | $6K | |
| D2330 | 1.5% | 121 | $6K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 421 | $3K |
| D2331 | <1% | 19 | $1K | |
| D0270 | <1% | 55 | $432.00 | |
| D0272 | Bitewings - two radiographic images | <1% | 25 | $400.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 20 | $216.00 |
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.