Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Zech, Derrick

Zech, Derrick was paid $996K by Medicaid between Jul 2021 and Aug 2024, across 10 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 34% of everything it billed.

33Billing provider infoZECH, DERRICK
GREAT FALLS, MT 59405
33aNPI1083846133assigned 08/21/2009
28Total paid$996K
24GClaims8,905
24DCodes billed10
24AFirst – last monthJul 2021 – Aug 2024
Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Montana

Rank by total paid#7 of 18
Median peer was paid$403K
This provider vs. median2.5×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20211,223$132K
20222,899$311K
20233,163$361K
2024incomplete1,620$191K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7240 Removal of impacted tooth - completely bony 34% 1,414 453 $342K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 33% 2,566 773 $325K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 11% 1,089 1,063 $113K
D9222 10.0% 1,158 1,130 $99K
D9310 5.8% 1,049 1,018 $58K
D0330 Panoramic radiographic image 3.3% 662 644 $33K
D0150 Comprehensive oral evaluation - new or established patient 1.2% 324 316 $12K
D9630 <1% 537 524 $8K
D7140 Extraction, erupted tooth or exposed root <1% 93 13 $6K
D0140 Limited oral evaluation - problem focused <1% 13 13 $455.78

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.