FRIDRICH, SCOTT
NPI: 1932372745
· BOULDER, CO 80304
· Dentist
· NPI assigned 04/12/2008
$758.70
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$758.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
12 |
12 |
$477.12 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$281.58 |