Dental
David E Thome DDS PLLC IV
David E Thome DDS PLLC IV was paid $3.08M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 14% of everything it billed.
33Billing provider infoDAVID E THOME DDS PLLC IV
STATESVILLE, NC 28625
STATESVILLE, NC 28625
33aNPI1356730741assigned 01/22/2015
33bProvider typePediatric Dentist
28Total paid$3.08M
24GClaims103,431
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in North Carolina
Rank by total paid#45 of 195
Median peer was paid$776K
This provider vs. median4.0×
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 | 4,693 | $106K | |
| 2019 | 8,632 | $285K | |
| 2020 | 9,409 | $315K | |
| 2021 | 16,939 | $505K | |
| 2022 | 19,950 | $604K | |
| 2023 | 20,706 | $596K | |
| 2024incomplete | 23,102 | $672K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 14% | 4,342 | 2,710 | $447K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 16,080 | 15,202 | $428K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 14,806 | 14,037 | $376K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 12% | 8,321 | 7,307 | $363K |
| D1208 | Topical application of fluoride, excluding varnish | 9.9% | 18,748 | 17,708 | $304K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.9% | 2,303 | 1,582 | $181K |
| D1351 | Sealant - per tooth | 5.3% | 6,090 | 1,616 | $164K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.8% | 3,437 | 3,214 | $148K |
| D7140 | Extraction, erupted tooth or exposed root | 3.3% | 1,690 | 1,027 | $103K |
| D0272 | Bitewings - two radiographic images | 2.8% | 4,853 | 4,626 | $88K |
| D1110 | Prophylaxis - adult | 2.8% | 2,299 | 2,204 | $87K |
| D0220 | Intraoral - periapical first radiographic image | 2.6% | 5,584 | 5,078 | $81K |
14 more codes
| D0140 | Limited oral evaluation - problem focused | 2.2% | 1,920 | $69K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.1% | 494 | $65K |
| D0240 | 2.0% | 3,846 | $60K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 3,911 | $46K |
| D0330 | Panoramic radiographic image | 1.0% | 530 | $32K |
| D0274 | Bitewings - four radiographic images | <1% | 802 | $25K |
| D0170 | <1% | 342 | $9K | |
| D1206 | Topical application of fluoride varnish | <1% | 268 | $3K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 106 | $2K |
| D9420 | <1% | 22 | $2K | |
| D1354 | <1% | 218 | $1K | |
| D1330 | 0% | 1,225 | $0.00 | |
| D1310 | 0% | 1,069 | $0.00 | |
| D9630 | 0% | 125 | $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.
From NPPES
Who's on the registration
Authorized officialHARRIS, LUCENDA (CREDENTIALING & CONTRACTING COORDIN)
| Provider | Location | Paid |
|---|---|---|
| David E Thome DDS PLLC III | Salisbury, NC | $10.57M |
| David E Thome DDS PLLC V | Kannapolis, NC | $2.34M |
| David E Thome DDS PLLC II | Mooresville, NC | $2.03M |
| David E Thome DDS PLLC Vii | Denver, NC | $931K |
| David E Thome DDS PLLC Vi | Lincolnton, NC | $902K |
| David E Thome DDS PLLC L1 | Dunn, NC | $43K |
| David E Thome DDS PLLC L1 | Sherrills Ford, NC | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.