Dental
Fredrickson, Gary
Fredrickson, Gary was paid $307.06 by Medicaid between Jan 2024 and Apr 2024, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoFREDRICKSON, GARY
JUNCTION CITY, KS 66441
JUNCTION CITY, KS 66441
33aNPI1992774582assigned 03/16/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$307.06
24GClaims79
24DCodes billed3
24AFirst – last monthJan 2024 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#195 of 203
Median peer was paid$40K
This provider vs. median0.0×
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 | 79 | $307.06 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 25 | 24 | $307.06 |
| D1206 | Topical application of fluoride varnish | 0% | 42 | 41 | $0.00 |
| D0220 | Intraoral - periapical first radiographic image | 0% | 12 | 12 | $0.00 |
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.