Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

EVAN FREDERICK,DDS, PLLC

NPI: 1639784739 · COLDWATER, MI 49036 · General Practice Dentistry · NPI assigned 09/15/2020

$74K
Total Medicaid Paid
2,668
Total Claims
2,665
Beneficiaries
6
Codes Billed
2020-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFREDERICK, EVAN (OWNER)
NPI Enumeration Date09/15/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 366 $11K
2021 642 $17K
2022 825 $22K
2023 539 $16K
2024 296 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 657 657 $24K
D0120 Periodic oral evaluation - established patient 945 943 $24K
D1206 Topical application of fluoride varnish 858 857 $19K
D1110 Prophylaxis - adult 101 101 $5K
D0272 Bitewings - two radiographic images 95 95 $2K
D0150 Comprehensive oral evaluation - new or established patient 12 12 $536.00