Dental
Frederick, Evan
Frederick, Evan was paid $49K by Medicaid between Jan 2018 and Mar 2020, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 36% of everything it billed.
33Billing provider infoFREDERICK, EVAN
COLDWATER, MI 49036
COLDWATER, MI 49036
33aNPI1770923575assigned 06/26/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$49K
24GClaims1,785
24DCodes billed5
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other General Practice Dentistry providers in Michigan
Rank by total paid#507 of 1,554
Median peer was paid$15K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2018 | 791 | $22K | |
| 2019 | 790 | $21K | |
| 2020 | 204 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 36% | 494 | 494 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 564 | 564 | $14K |
| D1206 | Topical application of fluoride varnish | 23% | 508 | 508 | $11K |
| D0272 | Bitewings - two radiographic images | 8.1% | 178 | 178 | $4K |
| D1110 | Prophylaxis - adult | 3.7% | 41 | 41 | $2K |
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.