Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Brentwood › NPI 1417062035
Dental

Renfroe, Derek

Renfroe, Derek was paid $50K by Medicaid between Mar 2018 and Jul 2021, across 8 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 28% of everything it billed.

33Billing provider infoRENFROE, DEREK
BRENTWOOD, TN 37027
33aNPI1417062035assigned 08/21/2006
33bProvider typeDentist
28Total paid$50K
24GClaims2,003
24DCodes billed8
24AFirst – last monthMar 2018 – Jul 2021
Compared with peers

Next to other Dentist providers in Tennessee

Rank by total paid#179 of 242
Median peer was paid$164K
This provider vs. median0.3×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018131$3K
2019389$9K
2020876$22K
2021607$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1206 Topical application of fluoride varnish 28% 720 701 $14K
D1120 Dental cleaning, childProphylaxis - child 26% 411 398 $13K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 19% 427 410 $9K
D1110 Prophylaxis - adult 15% 193 186 $8K
D0150 Comprehensive oral evaluation - new or established patient 8.3% 153 151 $4K
D0330 Panoramic radiographic image 3.4% 39 38 $2K
D0274 Bitewings - four radiographic images <1% 13 12 $319.68
D1999 0% 47 47 $0.00

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.