Devries, Derek

Devries, Derek was paid $7K by Medicaid between Jan 2018 and Oct 2019, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 53% of everything it billed.

33Billing provider infoDEVRIES, DEREK
KENTWOOD, MI 49508

33aNPI1922489194assigned 06/14/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$7K

24GClaims313

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2019

Compared with peers

Next to other General Practice Dentistry providers in Michigan

Rank by total paid#921 of 1,554

Median peer was paid$15K

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	216	$5K
2019	97	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	53%	175	175	$4K
D1120	Dental cleaning, childProphylaxis - child	19%	41	41	$1K
D1110	Prophylaxis - adult	14%	30	30	$964.62
D1206	Topical application of fluoride varnish	13%	53	53	$878.24
D0220	Intraoral - periapical first radiographic image	1.6%	14	14	$111.60

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.