Kelly, Derek

Kelly, Derek was paid $93K by Medicaid between Feb 2021 and Oct 2024, across 6 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 78% of everything it billed.

33Billing provider infoKELLY, DEREK
BRIDGEVILLE, PA 15017

33aNPI1306808597assigned 04/04/2006

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$93K

24GClaims1,128

24DCodes billed6

24AFirst – last monthFeb 2021 – Oct 2024

Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Pennsylvania

Rank by total paid#63 of 114

Median peer was paid$117K

This provider vs. median0.8×

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
2021	615	$49K
2024incomplete	513	$43K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7140	Extraction, erupted tooth or exposed root	78%	937	106	$72K
D7240	Removal of impacted tooth - completely bony	11%	54	13	$10K
D8670	Periodic orthodontic treatment visit	10%	86	86	$9K
D1208	Topical application of fluoride, excluding varnish	<1%	25	25	$468.00
D0274	Bitewings - four radiographic images	<1%	12	12	$336.00
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	14	14	$260.00

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.