Dental
Derek R Blackwelder DMD PLLC
Derek R Blackwelder DMD PLLC was paid $126K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 33% of everything it billed.
33Billing provider infoDEREK R BLACKWELDER DMD PLLC
WINNISQUAM, NH 03289
WINNISQUAM, NH 03289
33aNPI1427099233assigned 06/10/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$126K
24GClaims4,761
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New Hampshire
Rank by total paid#16 of 89
Median peer was paid$11K
This provider vs. median12×
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 | 1,177 | $29K | |
| 2019 | 950 | $25K | |
| 2020 | 559 | $14K | |
| 2021 | 666 | $19K | |
| 2022 | 578 | $16K | |
| 2023 | 439 | $11K | |
| 2024incomplete | 392 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 1,440 | 1,393 | $42K |
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 1,074 | 1,030 | $38K |
| D1206 | Topical application of fluoride varnish | 24% | 1,703 | 1,645 | $30K |
| D0272 | Bitewings - two radiographic images | 6.6% | 352 | 338 | $8K |
| D1110 | Prophylaxis - adult | 6.3% | 166 | 165 | $8K |
| D1330 | 0% | 14 | 14 | $0.00 | |
| D0603 | 0% | 12 | 12 | $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.
From NPPES
Who's on the registration
Authorized officialBLACKWELDER, DEREK (DENTIST / OWNER)