Dental
Derek Green DMD LLC
Derek Green DMD LLC was paid $885K by Medicaid between Jun 2021 and Dec 2024, across 17 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 14% of everything it billed.
33Billing provider infoDEREK GREEN DMD LLC
ANCHORAGE, AK 99504
ANCHORAGE, AK 99504
33aNPI1578130175assigned 06/10/2021
33bProvider typeGeneral Practice Dentistry
28Total paid$885K
24GClaims10,380
24DCodes billed17
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Alaska
Rank by total paid#16 of 80
Median peer was paid$63K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2021 | 1,172 | $87K | |
| 2022 | 3,203 | $299K | |
| 2023 | 2,809 | $233K | |
| 2024incomplete | 3,196 | $265K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 14% | 634 | 178 | $128K |
| D1110 | Prophylaxis - adult | 14% | 1,550 | 1,419 | $120K |
| D0330 | Panoramic radiographic image | 13% | 1,333 | 1,219 | $115K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.8% | 556 | 261 | $87K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.9% | 1,326 | 1,229 | $78K |
| D0274 | Bitewings - four radiographic images | 8.8% | 1,453 | 1,327 | $78K |
| D2740 | Crown - porcelain/ceramic | 7.3% | 127 | 73 | $64K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 6.0% | 304 | 125 | $53K |
| D2950 | 5.1% | 252 | 154 | $46K | |
| D1206 | Topical application of fluoride varnish | 3.9% | 1,393 | 1,272 | $35K |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 423 | 396 | $25K |
| D9243 | 2.3% | 76 | 45 | $20K |
5 more codes
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 officialGREEN, DEREK (OWNER)
Parent organizationDEREK GREEN DMD LLC