Dental
Nguyen, Derek
Nguyen, Derek was paid $122K by Medicaid between Jan 2018 and Oct 2023, across 21 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoNGUYEN, DEREK
FAYETTEVILLE, NY 13066
FAYETTEVILLE, NY 13066
33aNPI1114219615assigned 05/03/2011
33bProvider typePediatric Dentist
28Total paid$122K
24GClaims3,622
24DCodes billed21
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#292 of 514
Median peer was paid$196K
This provider vs. median0.6×
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 | 1,969 | $46K | |
| 2020 | 694 | $41K | |
| 2021 | 655 | $30K | |
| 2022 | 201 | $3K | |
| 2023 | 103 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 641 | 641 | $30K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 23% | 301 | 130 | $29K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 590 | 590 | $19K |
| D1351 | Sealant - per tooth | 7.1% | 211 | 71 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 4.9% | 440 | 440 | $6K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.0% | 42 | 26 | $5K |
| D1206 | Topical application of fluoride varnish | 3.3% | 125 | 125 | $4K |
| D0272 | Bitewings - two radiographic images | 3.1% | 264 | 264 | $4K |
| D7140 | Extraction, erupted tooth or exposed root | 2.8% | 58 | 43 | $3K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.6% | 100 | 100 | $3K |
| D1110 | Prophylaxis - adult | 2.4% | 56 | 56 | $3K |
| D1353 | 1.9% | 106 | 45 | $2K |
9 more codes
| D0274 | Bitewings - four radiographic images | 1.0% | 49 | $1K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 14 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 104 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 20 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 41 | $234.00 |
| D0601 | 0% | 28 | $0.00 | |
| D0602 | 0% | 27 | $0.00 | |
| D1330 | 0% | 260 | $0.00 | |
| D0603 | 0% | 145 | $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.