Ray Derakshan, DMD INC

Ray Derakshan, DMD INC was paid $37K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 33% of everything it billed.

33Billing provider infoRAY DERAKSHAN, DMD INC
SAN DIEGO, CA 92128

33aNPI1255579793assigned 01/21/2009

33bProvider typePreferred Provider Organization

28Total paid$37K

24GClaims2,841

24DCodes billed8

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Preferred Provider Organization providers in California

Rank by total paid#61 of 100

Median peer was paid$80K

This provider vs. median0.5×

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

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	471	$7K
2019	402	$6K
2020	261	$3K
2021	186	$3K
2022	311	$2K
2023	610	$8K
2024incomplete	600	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	33%	171	170	$12K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	26%	258	253	$10K
D0230	Intraoral - periapical each additional radiographic image	21%	2,049	920	$8K
D0274	Bitewings - four radiographic images	11%	238	237	$4K
D9430		7.4%	86	80	$3K
D0150	Comprehensive oral evaluation - new or established patient	1.0%	12	12	$385.00
D0220	Intraoral - periapical first radiographic image	<1%	14	12	$156.00
D0330	Panoramic radiographic image	<1%	13	13	$150.00

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.

From NPPES

Who's on the registration

Authorized officialDERAKSHAN, RAY (DENTIST)