Dental
Frederickson, Waynerd
Frederickson, Waynerd was paid $46K by Medicaid between Sep 2021 and Sep 2022, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoFREDERICKSON, WAYNERD
STUART, FL 34997
STUART, FL 34997
33aNPI1750669420assigned 07/29/2011
33bProvider typeDentist
28Total paid$46K
24GClaims2,344
24DCodes billed14
24AFirst – last monthSep 2021 – Sep 2022
Compared with peers
Next to other Dentist providers in Florida
Rank by total paid#235 of 542
Median peer was paid$25K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2021 | 449 | $7K | |
| 2022 | 1,895 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 309 | 304 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 27% | 178 | 176 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 23% | 214 | 154 | $10K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.1% | 177 | 177 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 4.1% | 18 | 14 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.0% | 59 | 40 | $2K |
| D4355 | 3.9% | 24 | 24 | $2K | |
| D0140 | Limited oral evaluation - problem focused | 2.4% | 59 | 58 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 383 | 376 | $343.69 |
| D0274 | Bitewings - four radiographic images | <1% | 339 | 336 | $99.05 |
| D0330 | Panoramic radiographic image | <1% | 112 | 109 | $64.36 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 448 | 445 | $20.00 |
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.