Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › REDMOND › KYLE J. FRISINGER D.M.D. PC

KYLE J. FRISINGER D.M.D. PC

NPI: 1659640027 · REDMOND, OR 97756 · General Practice Dentistry · NPI assigned 12/14/2011

$1K
Total Medicaid Paid
38
Total Claims
38
Beneficiaries
3
Codes Billed
2018-05
First Month
2018-05
Last Month

Provider Details

Authorized OfficialFRISINGER, MARIANNA (OWNER/SECRETARY)
NPI Enumeration Date12/14/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 12 12 $583.00
D0120 Periodic oral evaluation - established patient 12 12 $347.00
D1208 Topical application of fluoride, excluding varnish 14 14 $277.00