Dental
Richard, Derrick
Richard, Derrick was paid $370K by Medicaid between Jan 2018 and Mar 2020, across 13 billing codes. Its largest line is D1351, Sealant - per tooth — 21% of everything it billed.
33Billing provider infoRICHARD, DERRICK
WATERLOO, IL 62298
WATERLOO, IL 62298
33aNPI1083757702assigned 02/14/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$370K
24GClaims20,754
24DCodes billed13
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#318 of 1,017
Median peer was paid$123K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2018 | 10,343 | $201K | |
| 2019 | 8,165 | $136K | |
| 2020 | 2,246 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 21% | 4,524 | 1,348 | $77K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 2,836 | 2,746 | $54K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 2,173 | 2,104 | $47K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 1,157 | 1,118 | $40K |
| D1206 | Topical application of fluoride varnish | 11% | 3,220 | 3,113 | $39K |
| D0272 | Bitewings - two radiographic images | 5.8% | 1,660 | 1,612 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.6% | 356 | 293 | $21K |
| D0274 | Bitewings - four radiographic images | 4.9% | 982 | 939 | $18K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 1,673 | 1,191 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.9% | 307 | 250 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 1,371 | 1,313 | $12K |
| D1110 | Prophylaxis - adult | 2.5% | 352 | 337 | $9K |
1 more codes
| D0210 | Intraoral - complete series of radiographic images | <1% | 143 | $2K |
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.