Fredericka, Nicholas

Fredericka, Nicholas was paid $10K by Medicaid between Jan 2018 and Feb 2020, across 8 billing codes. Its largest line is D2391, Resin-based composite - one surface, posterior, primary or permanent — 41% of everything it billed.

33Billing provider infoFREDERICKA, NICHOLAS
YERINGTON, NV 89447

33aNPI1790904589assigned 04/24/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$10K

24GClaims779

24DCodes billed8

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Nevada

Rank by total paid#195 of 247

Median peer was paid$54K

This provider vs. median0.2×

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	384	$7K
2019	378	$2K
2020	17	$85.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2391	Resin-based composite - one surface, posterior, primary or permanent	41%	85	25	$4K
D0220	Intraoral - periapical first radiographic image	17%	396	270	$2K
D1110	Prophylaxis - adult	17%	61	58	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.2%	78	66	$888.16
D0150	Comprehensive oral evaluation - new or established patient	8.2%	40	34	$790.50
D0272	Bitewings - two radiographic images	3.8%	42	40	$370.00
D1208	Topical application of fluoride, excluding varnish	2.3%	44	42	$225.00
D0230	Intraoral - periapical each additional radiographic image	1.5%	33	14	$145.00

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.