DORAN, THOMAS
NPI: 1073507323
· KINGSTON, PA 18704
· General Practice Dentistry
· NPI assigned 09/01/2005
$101K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
156 |
$5K |
| 2019 |
135 |
$4K |
| 2020 |
253 |
$7K |
| 2021 |
1,459 |
$40K |
| 2023 |
29 |
$804.00 |
| 2024 |
2,359 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
1,466 |
1,459 |
$51K |
| D0120 |
Periodic oral evaluation - established patient |
1,314 |
1,311 |
$26K |
| D0274 |
Bitewings - four radiographic images |
406 |
404 |
$11K |
| D1330 |
|
464 |
463 |
$4K |
| D1310 |
|
462 |
461 |
$4K |
| D1208 |
Topical application of fluoride, excluding varnish |
225 |
221 |
$3K |
| D0330 |
Panoramic radiographic image |
15 |
14 |
$547.00 |
| D0220 |
Intraoral - periapical first radiographic image |
39 |
39 |
$307.35 |