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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDerek Clemmer
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    Derek Clemmer — Billing Profile & Reimbursement Data

    NPI 1023322765 · Ashland, MS · Dentist

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    Derek Clemmer is a dentist provider located in Ashland, Mississippi. This profile covers 0 Medicare and 23 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDerek Clemmer
    Address15921 Boundary Dr
    CityAshland
    StateMS
    ZIP38603
    TaxonomyDentist
    NPI EnumeratedAugust 5, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D2930N/A2,440$130$312.4K
    D2392Post 2 surface resin‑based composite2,080$110$224.9K
    D1120Prophylaxis–child8,930$20$160.7K
    D0150Comprehensive oral evaluation – new or established patient3,220$40$132K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients4,780$20$100.3K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)900$80$72.7K
    D0272N/A5,790$10$57.9K
    D0330N/A1,590$40$55.5K
    D1351Sealant - per tooth2,110$30$54.9K
    D2391Resin‑based composite – one surface, posterior600$80$48.9K

    Showing 1–10 of 23

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Mississippi providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Mississippi median

    23 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D2930N/A491601,130$90$267.6K
    D2392Post 2 surface resin‑based composite50360360$90$112.4K
    D2934N/A1730400$110$110.3K
    D1351Sealant - per tooth93320570$20$96.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)83330240$110$91K
    D1120Prophylaxis–child557401,040$20$79.8K
    D3220N/A53100330$60$70.1K
    D1206Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients74580640$20$57.5K
    D2391Resin‑based composite – one surface, posterior95290290$70$57.5K
    D0120Periodic oral evaluation - established patient51540530$20$53.8K

    Showing 1–10 of 23

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Derek Clemmer, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Happy Smiles LLCMSGeneral Practice Dentistry$0$17.4M
    Happy Smiles Dentistry - Tupelo LLCMSGeneral Practice Dentistry$0$16.2M
    Happy Smiles Dentistry-meridian LLCMSGeneral Practice Dentistry$0$13M
    South Mississippi Smiles Dentistry LLCMSGeneral Practice Dentistry$0$11.5M
    Mississippi Smiles Dentistry LLCMSGeneral Practice Dentistry$0$10.2M
    Joseph RuderTNGeneral Practice Dentistry$0$7.1M
    Boa Vida Hospital Of Aberdeen, Ms, LLCMSCritical Access Hospital$0$5M
    South Mississippi Smiles Dentistry LLCMSGeneral Practice Dentistry$0$4.8M
    Roberts & Garza Orthodontics Services PLLCMSOrthodontics and Dentofacial Orthopedics Dentistry$0$3.4M
    Roberts & Garza Orthodontics Services PLLCMSOrthodontics and Dentofacial Orthopedics Dentistry$0$2.9M

    Nearby Providers

    Other providers in the same ZIP code as Derek Clemmer, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    North Mississippi Primary Health Care, Inc.MSFederally Qualified Health Center (FQHC)$0$2.8M
    Irshad HussainMSInternal Medicine Physician$51.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Mississippi Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Mississippi Distribution
    Derek Clemmer — 0 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Mississippi