Dental
Michael, Derek
Michael, Derek was paid $27K by Medicaid between Aug 2018 and Nov 2018, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 15% of everything it billed.
33Billing provider infoMICHAEL, DEREK
TOPEKA, KS 66605
TOPEKA, KS 66605
33aNPI1477047082assigned 06/18/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$27K
24GClaims1,043
24DCodes billed11
24AFirst – last monthAug 2018 – Nov 2018
Compared with peers
Next to other General Practice Dentistry providers in Kansas
Rank by total paid#113 of 203
Median peer was paid$40K
This provider vs. median0.7×
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 | 1,043 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 195 | 193 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 133 | 132 | $4K |
| D1206 | Topical application of fluoride varnish | 14% | 217 | 214 | $4K |
| D1351 | Sealant - per tooth | 13% | 147 | 36 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 12% | 48 | 37 | $3K |
| D1110 | Prophylaxis - adult | 10% | 70 | 68 | $3K |
| D0274 | Bitewings - four radiographic images | 7.4% | 70 | 68 | $2K |
| D0272 | Bitewings - two radiographic images | 7.1% | 96 | 95 | $2K |
| D0330 | Panoramic radiographic image | 2.6% | 20 | 19 | $698.00 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.3% | 31 | 28 | $620.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 16 | 15 | $391.00 |
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.