Dental
Smith, Derek
Smith, Derek was paid $967K by Medicaid between Jan 2018 and Jul 2020, across 23 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.
33Billing provider infoSMITH, DEREK
SPRINGFIELD, MO 65806
SPRINGFIELD, MO 65806
33aNPI1942469457assigned 06/09/2008
33bProvider typeDentist
28Total paid$967K
24GClaims17,967
24DCodes billed23
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Dentist providers in Missouri
Rank by total paid#17 of 284
Median peer was paid$109K
This provider vs. median8.9×
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 | 7,834 | $494K | |
| 2019 | 7,343 | $339K | |
| 2020 | 2,790 | $134K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 15% | 1,048 | 728 | $145K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 13% | 1,225 | 802 | $130K |
| D1110 | Prophylaxis - adult | 10.0% | 1,663 | 1,607 | $97K |
| D7140 | Extraction, erupted tooth or exposed root | 9.8% | 1,160 | 508 | $95K |
| D0274 | Bitewings - four radiographic images | 8.5% | 1,962 | 1,917 | $82K |
| D0330 | Panoramic radiographic image | 7.1% | 887 | 855 | $69K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 1,597 | 1,532 | $54K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.3% | 1,785 | 1,170 | $51K |
| D1351 | Sealant - per tooth | 4.5% | 1,295 | 393 | $44K |
| D1206 | Topical application of fluoride varnish | 4.3% | 1,678 | 1,621 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.1% | 760 | 737 | $40K |
| D0220 | Intraoral - periapical first radiographic image | 3.0% | 1,499 | 1,465 | $29K |
11 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.0% | 159 | $29K |
| D1120 | Dental cleaning, child | 2.3% | 539 | $23K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 293 | $15K |
| D2950 | <1% | 29 | $6K | |
| D2330 | <1% | 54 | $5K | |
| D0272 | Bitewings - two radiographic images | <1% | 147 | $5K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 14 | $3K |
| D2331 | <1% | 33 | $3K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 94 | $2K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 28 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 18 | $486.00 |
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.