Dental
Thomas, David
Thomas, David was paid $270.00 by Medicaid between Aug 2019 and Aug 2019, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 56% of everything it billed.
33Billing provider infoTHOMAS, DAVID
SUMMERSVILLE, WV 26651
SUMMERSVILLE, WV 26651
33aNPI1073696308assigned 10/23/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$270.00
24GClaims28
24DCodes billed2
24AFirst – last monthAug 2019 – Aug 2019
Compared with peers
Next to other General Practice Dentistry providers in West Virginia
Rank by total paid#188 of 193
Median peer was paid$44K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 28 | $270.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 56% | 13 | 13 | $150.00 |
| D1208 | Topical application of fluoride, excluding varnish | 44% | 15 | 15 | $120.00 |
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.