KENNETH MICHAEL FRIED
NPI: 1922211614
· WHITING, IN 46394
· General Practice Dentistry
· NPI assigned 05/08/2007
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | FRIED, KENNETH (OWNER) |
| NPI Enumeration Date | 05/08/2007 |
Related Entities
Other providers sharing the same authorized official: FRIED, KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
26 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0120 |
Periodic oral evaluation - established patient |
12 |
12 |
$0.00 |
| D0274 |
Bitewings - four radiographic images |
14 |
14 |
$0.00 |