Hansen, Thomas

Hansen, Thomas was paid $82K by Medicaid between Apr 2018 and Oct 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.

33Billing provider infoHANSEN, THOMAS
DAWSON, MN 56232

33aNPI1164540910assigned 03/27/2007

33bProvider typeDentist

28Total paid$82K

24GClaims2,886

24DCodes billed9

24AFirst – last monthApr 2018 – Oct 2024

Compared with peers

Next to other Dentist providers in Minnesota

Rank by total paid#49 of 192

Median peer was paid$9K

This provider vs. median9.0×

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	73	$99.88
2019	81	$2K
2020	135	$3K
2021	402	$8K
2022	731	$23K
2023	819	$25K
2024incomplete	645	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	24%	405	405	$20K
D1206	Topical application of fluoride varnish	22%	698	698	$18K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	513	512	$16K
D0220	Intraoral - periapical first radiographic image	17%	905	725	$14K
D0274	Bitewings - four radiographic images	7.9%	164	164	$7K
D4910		5.4%	57	57	$4K
D0140	Limited oral evaluation - problem focused	1.7%	45	42	$1K
D0230	Intraoral - periapical each additional radiographic image	1.5%	86	62	$1K
D0150	Comprehensive oral evaluation - new or established patient	<1%	13	13	$562.28

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.