FREDRICKSON, GARY
NPI: 1992774582
· JUNCTION CITY, KS 66441
· General Practice Dentistry
· NPI assigned 03/16/2006
$307.06
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
79 |
$307.06 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
25 |
24 |
$307.06 |
| D1206 |
Topical application of fluoride varnish |
42 |
41 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$0.00 |