Kavanagh, Thomas

Kavanagh, Thomas was paid $60K by Medicaid between Jan 2018 and Feb 2020, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.

33Billing provider infoKAVANAGH, THOMAS
LAKEWOOD, OH 44107

33aNPI1093832917assigned 03/24/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$60K

24GClaims2,741

24DCodes billed10

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Ohio

Rank by total paid#387 of 870

Median peer was paid$40K

This provider vs. median1.5×

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	1,256	$26K
2019	1,215	$27K
2020	270	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	37%	735	703	$22K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	809	781	$13K
D2391	Resin-based composite - one surface, posterior, primary or permanent	15%	201	100	$9K
D1208	Topical application of fluoride, excluding varnish	9.3%	385	375	$6K
D0274	Bitewings - four radiographic images	5.8%	186	181	$3K
D1120	Dental cleaning, childProphylaxis - child	5.0%	152	150	$3K
D0140	Limited oral evaluation - problem focused	1.9%	66	51	$1K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.6%	15	12	$972.00
D0220	Intraoral - periapical first radiographic image	1.1%	142	136	$674.00
D0272	Bitewings - two radiographic images	<1%	50	50	$490.50

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.