Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
NC
›
CLINTON
› THOMAS, THEODORE
THOMAS, THEODORE
NPI: 1174627541 · CLINTON, NC 28328 ·
General Practice Dentistry
· NPI assigned 09/07/2006
$12K
Total Medicaid Paid
502
Total Claims
469
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-06
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
399
$9K
2019
103
$3K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
D0120
Periodic oral evaluation - established patient
333
311
$7K
D1110
Prophylaxis - adult
129
121
$4K
D1208
Topical application of fluoride, excluding varnish
40
37
$550.20