Derksen, Daniel

Derksen, Daniel was paid $2K by Medicaid between Jun 2018 and Jan 2019, across 3 billing codes. Its largest line is D1120, dental cleaning, child — 52% of everything it billed.

33Billing provider infoDERKSEN, DANIEL
EAST LANSING, MI 48823

33aNPI1275735029assigned 06/04/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$2K

24GClaims69

24DCodes billed3

24AFirst – last monthJun 2018 – Jan 2019

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#1,173 of 1,554

Median peer was paid$15K

This provider vs. median0.1×

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	54	$1K
2019	15	$560.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	52%	27	27	$1K
D1208	Topical application of fluoride, excluding varnish	31%	27	27	$584.71
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	15	15	$330.00

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.