Dental
Evans, Thomas
Evans, Thomas was paid $958K by Medicaid between Jan 2018 and Nov 2021, across 18 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoEVANS, THOMAS
OTTUMWA, IA 52501
OTTUMWA, IA 52501
33aNPI1083721211assigned 08/24/2006
33bProvider typePediatric Dentist
28Total paid$958K
24GClaims37,496
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Pediatric Dentist providers in Iowa
Rank by total paid#15 of 58
Median peer was paid$284K
This provider vs. median3.4×
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 | 13,198 | $339K | |
| 2019 | 12,296 | $321K | |
| 2020 | 5,157 | $128K | |
| 2021 | 6,845 | $169K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 6,267 | 6,073 | $165K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 7,066 | 6,865 | $129K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 1,643 | 992 | $116K |
| D1351 | Sealant - per tooth | 9.4% | 4,385 | 806 | $90K |
| D1208 | Topical application of fluoride, excluding varnish | 9.1% | 5,750 | 5,556 | $87K |
| D1110 | Prophylaxis - adult | 7.4% | 1,957 | 1,902 | $71K |
| D0330 | Panoramic radiographic image | 6.2% | 1,421 | 1,377 | $59K |
| D0272 | Bitewings - two radiographic images | 5.9% | 3,372 | 3,268 | $57K |
| D1206 | Topical application of fluoride varnish | 4.2% | 2,585 | 2,522 | $40K |
| D7140 | Extraction, erupted tooth or exposed root | 3.4% | 592 | 280 | $32K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.3% | 307 | 160 | $31K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 581 | 393 | $31K |
6 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 2.8% | 1,145 | $27K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.2% | 194 | $11K |
| D2335 | <1% | 63 | $5K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 96 | $2K |
| D2330 | <1% | 38 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 34 | $2K |
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.