Blank, Derek
Blank, Derek was paid $132K by Medicaid between Mar 2018 and Dec 2022, across 8 billing codes. Its largest line is D1120, dental cleaning, child — 41% of everything it billed.
33Billing provider infoBLANK, DEREK
GREENVILLE, NC 27834
GREENVILLE, NC 27834
33aNPI1134449127assigned 06/02/2010
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$132K
24GClaims4,620
24DCodes billed8
24AFirst – last monthMar 2018 – Dec 2022
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in North Carolina
Rank by total paid#9 of 45
Median peer was paid$9K
This provider vs. median15×
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 | 491 | $16K | |
| 2019 | 891 | $25K | |
| 2020 | 810 | $22K | |
| 2021 | 1,249 | $36K | |
| 2022 | 1,179 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 41% | 1,330 | 1,309 | $55K |
| D1206 | Topical application of fluoride varnish | 28% | 1,544 | 1,519 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 22% | 1,034 | 1,015 | $29K |
| D1351 | Sealant - per tooth | 3.4% | 137 | 31 | $5K |
| D0272 | Bitewings - two radiographic images | 2.4% | 214 | 212 | $3K |
| D1330 | 1.4% | 303 | 302 | $2K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 30 | 30 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 28 | 24 | $450.00 |
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.