Theis, Dale

Theis, Dale was paid $1K by Medicaid between Aug 2018 and Sep 2020, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.

33Billing provider infoTHEIS, DALE
GAHANNA, OH 43230

33aNPI1215010780assigned 10/20/2006

33bProvider typeDentist

28Total paid$1K

24GClaims130

24DCodes billed6

24AFirst – last monthAug 2018 – Sep 2020

Compared with peers

Next to other Dentist providers in Ohio

Rank by total paid#642 of 745

Median peer was paid$38K

This provider vs. median0.0×

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	77	$1K
2020	53	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	39%	18	18	$580.21
D0150	Comprehensive oral evaluation - new or established patient	23%	15	15	$342.55
D0140	Limited oral evaluation - problem focused	18%	13	12	$270.96
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	14%	14	13	$204.96
D0220	Intraoral - periapical first radiographic image	5.1%	17	16	$75.00
D1999		0%	53	46	$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.