Dental
Dergham, Dergham
Dergham, Dergham was paid $60K by Medicaid between Jan 2018 and Dec 2022, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 37% of everything it billed.
33Billing provider infoDERGHAM, DERGHAM
LORAIN, OH 44053
LORAIN, OH 44053
33aNPI1396022703assigned 11/14/2011
33bProvider typePediatric Dentist
28Total paid$60K
24GClaims3,314
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Pediatric Dentist providers in Ohio
Rank by total paid#94 of 144
Median peer was paid$140K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2018 | 1,089 | $21K | |
| 2019 | 632 | $11K | |
| 2020 | 403 | $7K | |
| 2021 | 655 | $12K | |
| 2022 | 535 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 37% | 1,162 | 1,156 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 25% | 1,042 | 1,037 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 742 | 737 | $12K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 256 | 256 | $6K |
| D0330 | Panoramic radiographic image | 6.0% | 85 | 84 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 27 | 27 | $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.