Dental
Nobrega, Derek
Nobrega, Derek was paid $696K by Medicaid between Jan 2018 and Mar 2020, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoNOBREGA, DEREK
PROVIDENCE, RI 02907
PROVIDENCE, RI 02907
33aNPI1871858233assigned 07/11/2012
33bProvider typePediatric Dentist
28Total paid$696K
24GClaims15,905
24DCodes billed22
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Pediatric Dentist providers in Rhode Island
Rank by total paid#14 of 29
Median peer was paid$643K
This provider vs. median1.1×
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 | 11,265 | $511K | |
| 2019 | 4,197 | $170K | |
| 2020 | 443 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 2,701 | 2,490 | $117K |
| D1206 | Topical application of fluoride varnish | 16% | 3,038 | 2,792 | $109K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 2,823 | 2,606 | $66K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.6% | 439 | 112 | $60K |
| D7140 | Extraction, erupted tooth or exposed root | 8.2% | 671 | 283 | $57K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.5% | 594 | 395 | $45K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.5% | 431 | 321 | $45K |
| D1351 | Sealant - per tooth | 6.3% | 1,332 | 421 | $44K |
| D1110 | Prophylaxis - adult | 4.3% | 495 | 458 | $30K |
| D0272 | Bitewings - two radiographic images | 3.3% | 971 | 892 | $23K |
| D9420 | 2.8% | 90 | 72 | $20K | |
| D0274 | Bitewings - four radiographic images | 2.7% | 557 | 509 | $19K |
10 more codes
| D0330 | Panoramic radiographic image | 1.8% | 197 | $12K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 267 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.3% | 285 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 225 | $8K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 397 | $6K |
| D2335 | <1% | 40 | $6K | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 153 | $4K |
| D0240 | <1% | 112 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 37 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 50 | $867.00 |
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.