Dental
Derbydds, P.C.
Derbydds, P.C. was paid $187K by Medicaid between Jun 2023 and Dec 2024, across 13 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 19% of everything it billed.
33Billing provider infoDERBYDDS, P.C.
DERBY, CT 06418
DERBY, CT 06418
33aNPI1215634886assigned 02/14/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$187K
24GClaims6,507
24DCodes billed13
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Connecticut
Rank by total paid#158 of 431
Median peer was paid$79K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2023 | 1,254 | $28K | |
| 2024incomplete | 5,253 | $159K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 19% | 1,182 | 870 | $35K |
| D0274 | Bitewings - four radiographic images | 13% | 781 | 745 | $24K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 10% | 159 | 77 | $19K |
| D1110 | Prophylaxis - adult | 9.7% | 489 | 462 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.2% | 207 | 118 | $15K |
| D1208 | Topical application of fluoride, excluding varnish | 7.8% | 722 | 693 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 7.8% | 228 | 137 | $15K |
| D0330 | Panoramic radiographic image | 7.4% | 253 | 240 | $14K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.2% | 1,320 | 758 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 6.2% | 953 | 904 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.4% | 151 | 150 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 34 | 31 | $858.72 |
1 more codes
| D0120 | Dental checkup, returning patient | <1% | 28 | $684.60 |
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.
From NPPES
Who's on the registration
Authorized officialLEE, IN KYUNG (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Brilliant Smile Dental, P.C. | Meriden, CT | $1.94M |
| Danburydds, P.C. | Danbury, CT | $80K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.