Dental
Niederhelman, Thomas
Niederhelman, Thomas was paid $70K by Medicaid between Jan 2018 and Nov 2021, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.
33Billing provider infoNIEDERHELMAN, THOMAS
COSHOCTON, OH 43812
COSHOCTON, OH 43812
33aNPI1144333527assigned 08/17/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$70K
24GClaims2,936
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other General Practice Dentistry providers in Ohio
Rank by total paid#371 of 870
Median peer was paid$40K
This provider vs. median1.7×
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 | 870 | $19K | |
| 2019 | 524 | $13K | |
| 2020 | 898 | $20K | |
| 2021 | 644 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 39% | 802 | 791 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 999 | 992 | $17K |
| D1208 | Topical application of fluoride, excluding varnish | 8.2% | 384 | 383 | $6K |
| D0274 | Bitewings - four radiographic images | 8.2% | 291 | 289 | $6K |
| D0330 | Panoramic radiographic image | 5.9% | 90 | 90 | $4K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.7% | 74 | 40 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 4.6% | 173 | 166 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 29 | 12 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 28 | 28 | $737.80 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 22 | 18 | $620.80 |
| D0140 | Limited oral evaluation - problem focused | <1% | 16 | 15 | $374.84 |
| D0272 | Bitewings - two radiographic images | <1% | 14 | 14 | $80.00 |
1 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 14 | $73.00 |
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.