BLANK, DEREK
NPI: 1134449127
· GREENVILLE, NC 27834
· Student in an Organized Health Care Education/Training Program
· NPI assigned 06/02/2010
$132K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
491 |
$16K |
| 2019 |
891 |
$25K |
| 2020 |
810 |
$22K |
| 2021 |
1,249 |
$36K |
| 2022 |
1,179 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1120 |
Prophylaxis - child |
1,330 |
1,309 |
$55K |
| D1206 |
Topical application of fluoride varnish |
1,544 |
1,519 |
$37K |
| D0120 |
Periodic oral evaluation - established patient |
1,034 |
1,015 |
$29K |
| D1351 |
Sealant - per tooth |
137 |
31 |
$5K |
| D0272 |
Bitewings - two radiographic images |
214 |
212 |
$3K |
| D1330 |
|
303 |
302 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
30 |
30 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
28 |
24 |
$450.00 |