Dental
David E Thome DDS PLLC Xiii
David E Thome DDS PLLC Xiii was paid $578K by Medicaid between Mar 2022 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 15% of everything it billed.
33Billing provider infoDAVID E THOME DDS PLLC XIII
CHARLOTTE, NC 28227
CHARLOTTE, NC 28227
33aNPI1154905313assigned 05/12/2021
33bProvider typePediatric Dentist
28Total paid$578K
24GClaims22,297
24DCodes billed23
24AFirst – last monthMar 2022 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in North Carolina
Rank by total paid#107 of 195
Median peer was paid$776K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2022 | 4,447 | $117K | |
| 2023 | 7,520 | $213K | |
| 2024incomplete | 10,330 | $248K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 3,478 | 3,191 | $87K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 13% | 1,721 | 1,475 | $74K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 1,504 | 1,386 | $63K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.6% | 2,286 | 2,098 | $55K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.6% | 665 | 439 | $50K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.1% | 493 | 293 | $47K |
| D1208 | Topical application of fluoride, excluding varnish | 8.0% | 3,018 | 2,741 | $46K |
| D0240 | 5.7% | 2,281 | 1,041 | $33K | |
| D1351 | Sealant - per tooth | 3.8% | 934 | 219 | $22K |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 1,515 | 1,368 | $21K |
| D0272 | Bitewings - two radiographic images | 3.5% | 1,228 | 1,113 | $20K |
| D1110 | Prophylaxis - adult | 2.7% | 442 | 396 | $15K |
11 more codes
| D1206 | Topical application of fluoride varnish | 2.2% | 924 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 589 | $7K |
| D0170 | <1% | 195 | $5K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 94 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 120 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 138 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 159 | $3K |
| D1354 | <1% | 372 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 26 | $1K |
| D1330 | 0% | 58 | $0.00 | |
| D1310 | 0% | 57 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialTHOME, DAVID (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Howards Medical LLC | Yakima, WA | $7.18M |
| Thome & Zimmer DDS PLLC I | Shelby, NC | $4.53M |
| David E Thome DDS PLLC Ix | Concord, NC | $1.30M |
| David E Thome DDS PLLC Xii | Dunn, NC | $1.19M |
| Thome & Kankash DDS PLLC I | Fuquay Varina, NC | $1.17M |
| Thome Enterprise L L C | Selah, WA | $874K |
| David E Thome DDS PLLC Xi | Charlotte, NC | $578K |
| David E Thome DDS PLLC X | Sherrills Ford, NC | $285K |
| David E Thome DDS PLLC Xiv | Charlotte, NC | $171K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.