Managed care
Derek J Doss DMD LLC
Derek J Doss DMD LLC was paid $106K by Medicaid between Feb 2018 and Oct 2024, across 13 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoDEREK J DOSS DMD LLC
CALERA, AL 35040
CALERA, AL 35040
33aNPI1336456771assigned 09/07/2010
33bProvider typeExclusive Provider Organization
28Total paid$106K
24GClaims5,552
24DCodes billed13
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Exclusive Provider Organization providers in Alabama
Rank by total paid#6 of 8
Median peer was paid$625K
This provider vs. median0.2×
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 | 444 | $8K | |
| 2019 | 509 | $10K | |
| 2020 | 604 | $11K | |
| 2021 | 974 | $18K | |
| 2022 | 972 | $20K | |
| 2023 | 1,328 | $27K | |
| 2024incomplete | 721 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 1,217 | 1,154 | $21K |
| D1999 | 19% | 1,208 | 925 | $20K | |
| D1110 | Prophylaxis - adult | 19% | 597 | 570 | $20K |
| D1208 | Topical application of fluoride, excluding varnish | 18% | 1,423 | 1,349 | $19K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.0% | 308 | 292 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 6.0% | 365 | 276 | $6K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.7% | 35 | 17 | $3K |
| D0274 | Bitewings - four radiographic images | 2.6% | 134 | 133 | $3K |
| D0330 | Panoramic radiographic image | 2.5% | 68 | 65 | $3K |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 71 | 55 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 100 | 58 | $646.80 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $316.80 |
1 more codes
| D0272 | Bitewings - two radiographic images | <1% | 14 | $252.00 |
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 officialDOSS, DEREK (MEMBER MANAGER)