Frederick, Donald

Frederick, Donald was paid $73K by Medicaid between Oct 2020 and Nov 2021, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.

33Billing provider infoFREDERICK, DONALD
WILKES BARRE, PA 18701

33aNPI1558496026assigned 02/23/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$73K

24GClaims2,694

24DCodes billed10

24AFirst – last monthOct 2020 – Nov 2021

Compared with peers

Next to other General Practice Dentistry providers in Pennsylvania

Rank by total paid#317 of 847

Median peer was paid$37K

This provider vs. median2.0×

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
2020	682	$19K
2021	2,012	$54K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	31%	642	642	$23K
D0274	Bitewings - four radiographic images	19%	507	506	$14K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	18%	630	626	$13K
D0330	Panoramic radiographic image	13%	256	255	$9K
D0150	Comprehensive oral evaluation - new or established patient	5.7%	200	199	$4K
D1208	Topical application of fluoride, excluding varnish	3.9%	153	151	$3K
D1351	Sealant - per tooth	3.6%	105	13	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.5%	30	17	$2K
D1120	Dental cleaning, childProphylaxis - child	2.0%	48	48	$1K
D0220	Intraoral - periapical first radiographic image	1.2%	123	121	$864.00

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.