Edwardson, Thaddeus

Edwardson, Thaddeus was paid $54K by Medicaid between Dec 2018 and Jul 2020, across 15 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 22% of everything it billed.

33Billing provider infoEDWARDSON, THADDEUS
HANNIBAL, MO 63401

33aNPI1326530510assigned 06/04/2018

33bProvider typeDentist

28Total paid$54K

24GClaims2,326

24DCodes billed15

24AFirst – last monthDec 2018 – Jul 2020

Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#173 of 284

Median peer was paid$109K

This provider vs. median0.5×

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	37	$1K
2019	1,244	$29K
2020	1,045	$24K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0150	Comprehensive oral evaluation - new or established patient	22%	275	275	$12K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	17%	183	108	$9K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	268	268	$7K
D1120	Dental cleaning, childProphylaxis - child	13%	410	410	$7K
D1206	Topical application of fluoride varnish	9.8%	487	487	$5K
D0272	Bitewings - two radiographic images	5.3%	236	236	$3K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.8%	68	43	$3K
D0330	Panoramic radiographic image	3.7%	79	79	$2K
D1110	Prophylaxis - adult	3.2%	64	64	$2K
D0274	Bitewings - four radiographic images	2.6%	69	69	$1K
D1351	Sealant - per tooth	1.8%	43	14	$946.00
D0210	Intraoral - complete series of radiographic images	1.3%	30	30	$711.00

3 more codes

D0220	Intraoral - periapical first radiographic image	<1%	67	$485.00
D1208	Topical application of fluoride, excluding varnish	<1%	34	$442.00
D0140	Limited oral evaluation - problem focused	<1%	13	$314.50

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.