Dental
Clemmer, Derek
Clemmer, Derek was paid $1.51M by Medicaid between Jan 2018 and Aug 2021, across 23 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 21% of everything it billed.
33Billing provider infoCLEMMER, DEREK
ASHLAND, MS 38603
ASHLAND, MS 38603
33aNPI1023322765assigned 08/05/2010
33bProvider typeDentist
28Total paid$1.51M
24GClaims51,817
24DCodes billed23
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Dentist providers in Mississippi
Rank by total paid#12 of 261
Median peer was paid$64K
This provider vs. median23×
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 | |
|---|---|---|---|
| 2018 | 23,719 | $773K | |
| 2019 | 20,716 | $493K | |
| 2020 | 6,233 | $198K | |
| 2021 | 1,149 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 21% | 2,441 | 597 | $313K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 2,082 | 956 | $226K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 8,929 | 5,775 | $159K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.7% | 3,219 | 3,175 | $131K |
| D1206 | Topical application of fluoride varnish | 6.5% | 4,778 | 4,030 | $98K |
| D7140 | Extraction, erupted tooth or exposed root | 4.8% | 898 | 489 | $72K |
| D1351 | Sealant - per tooth | 3.7% | 2,110 | 341 | $56K |
| D0272 | Bitewings - two radiographic images | 3.7% | 5,793 | 3,265 | $56K |
| D0330 | Panoramic radiographic image | 3.6% | 1,586 | 1,260 | $55K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 604 | 347 | $49K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.1% | 1,360 | 1,299 | $47K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.9% | 5,407 | 2,074 | $44K |
11 more codes
| D2934 | 2.7% | 248 | $40K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.5% | 4,003 | $23K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.5% | 267 | $22K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 548 | $21K |
| D0274 | Bitewings - four radiographic images | 1.3% | 775 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 1.1% | 1,480 | $17K |
| D0145 | Oral evaluation for a patient under three years of age | 1.1% | 434 | $16K |
| D9248 | 1.1% | 305 | $16K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 201 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 1,122 | $12K |
| D0603 | 0% | 3,227 | $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.