Dental
Derrick Baca DDS LLC
Derrick Baca DDS LLC was paid $22K by Medicaid between Feb 2018 and Jan 2020, across 9 billing codes. Its largest line is D1208, Topical application of fluoride, excluding varnish — 24% of everything it billed.
33Billing provider infoDERRICK BACA DDS LLC
GRANTS, NM 87020
GRANTS, NM 87020
33aNPI1902214406assigned 07/28/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$22K
24GClaims827
24DCodes billed9
24AFirst – last monthFeb 2018 – Jan 2020
Compared with peers
Next to other General Practice Dentistry providers in New Mexico
Rank by total paid#125 of 202
Median peer was paid$44K
This provider vs. median0.5×
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 | 507 | $14K | |
| 2019 | 288 | $7K | |
| 2020 | 32 | $729.15 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1208 | Topical application of fluoride, excluding varnish | 24% | 289 | 289 | $5K |
| D0274 | Bitewings - four radiographic images | 20% | 153 | 153 | $4K |
| D0140 | Limited oral evaluation - problem focused | 19% | 142 | 142 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 15% | 95 | 95 | $3K |
| D1110 | Prophylaxis - adult | 11% | 54 | 54 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.1% | 44 | 44 | $1K |
| D0330 | Panoramic radiographic image | 2.7% | 12 | 12 | $584.22 |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.3% | 25 | 25 | $490.06 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13 | 12 | $144.84 |
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 officialBACA, DERRICK (GENERAL DENTIST)