Fox, Thomas

Fox, Thomas was paid $84K by Medicaid between Jul 2018 and Nov 2021, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.

33Billing provider infoFOX, THOMAS
CONNEAUT LAKE, PA 16316

33aNPI1134216443assigned 10/06/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$84K

24GClaims3,112

24DCodes billed12

24AFirst – last monthJul 2018 – Nov 2021

Compared with peers

Next to other General Practice Dentistry providers in Pennsylvania

Rank by total paid#296 of 847

Median peer was paid$37K

This provider vs. median2.3×

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	52	$1K
2020	594	$17K
2021	2,466	$66K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	24%	539	534	$20K
D1351	Sealant - per tooth	18%	548	107	$15K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	15%	623	619	$13K
D1120	Dental cleaning, childProphylaxis - child	10%	276	276	$9K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	7.6%	99	68	$6K
D1208	Topical application of fluoride, excluding varnish	6.1%	351	351	$5K
D0272	Bitewings - two radiographic images	5.9%	297	295	$5K
D0330	Panoramic radiographic image	5.3%	122	120	$4K
D0150	Comprehensive oral evaluation - new or established patient	5.2%	214	212	$4K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.5%	18	14	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	13	12	$708.50
D0274	Bitewings - four radiographic images	<1%	12	12	$364.39

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.