Thomas, Theodore

Thomas, Theodore was paid $12K by Medicaid between Jan 2018 and Jun 2019, across 3 billing codes. Its largest line is D0120, dental checkup, returning patient — 60% of everything it billed.

33Billing provider infoTHOMAS, THEODORE
CLINTON, NC 28328

33aNPI1174627541assigned 09/07/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$12K

24GClaims502

24DCodes billed3

24AFirst – last monthJan 2018 – Jun 2019

Compared with peers

Next to other General Practice Dentistry providers in North Carolina

Rank by total paid#576 of 756

Median peer was paid$121K

This provider vs. median0.1×

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	399	$9K
2019	103	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	60%	333	311	$7K
D1110	Prophylaxis - adult	35%	129	121	$4K
D1208	Topical application of fluoride, excluding varnish	4.6%	40	37	$550.20

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.