Dental
Frederick Dental Group
Frederick Dental Group was paid $226K by Medicaid between Jan 2024 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoFREDERICK DENTAL GROUP
WILKES BARRE, PA 18701
WILKES BARRE, PA 18701
33aNPI1871628370assigned 02/23/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$226K
24GClaims6,935
24DCodes billed17
24AFirst – last monthJan 2024 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Pennsylvania
Rank by total paid#150 of 847
Median peer was paid$37K
This provider vs. median6.1×
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 | |
|---|---|---|---|
| 2024incomplete | 6,935 | $226K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 1,337 | 1,333 | $46K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 18% | 632 | 306 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,584 | 1,577 | $30K |
| D0274 | Bitewings - four radiographic images | 10% | 857 | 856 | $23K |
| D7140 | Extraction, erupted tooth or exposed root | 9.1% | 305 | 111 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.3% | 324 | 176 | $17K |
| D0330 | Panoramic radiographic image | 5.5% | 360 | 359 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | 3.9% | 487 | 484 | $9K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.7% | 135 | 103 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.5% | 198 | 195 | $6K |
| D2330 | 1.9% | 86 | 43 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | 1.2% | 365 | 361 | $3K |
5 more codes
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.
From NPPES
Who's on the registration
Authorized officialFREDERICK, DONALD (SOLE PROPRIETOR)