Dental
Salacup, Thomas
Salacup, Thomas was paid $27K by Medicaid between Jan 2018 and Jan 2020, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 36% of everything it billed.
33Billing provider infoSALACUP, THOMAS
VALLEJO, CA 94590
VALLEJO, CA 94590
33aNPI1164588455assigned 12/29/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$27K
24GClaims2,176
24DCodes billed7
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other General Practice Dentistry providers in California
Rank by total paid#1,961 of 2,668
Median peer was paid$173K
This provider vs. median0.2×
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 | 1,182 | $14K | |
| 2019 | 934 | $12K | |
| 2020 | 60 | $562.05 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 36% | 271 | 270 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 17% | 1,218 | 404 | $5K |
| D0274 | Bitewings - four radiographic images | 14% | 191 | 191 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 365 | 364 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 102 | 102 | $3K |
| D1110 | Prophylaxis - adult | 4.7% | 14 | 14 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.7% | 15 | 15 | $990.00 |
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.