DAVID E THOME DDS PLLC IV
NPI: 1356730741
· STATESVILLE, NC 28625
· 1223P0221X
$3.08M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
23,102 |
$672K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D2392 |
|
4,342 |
2,710 |
$447K |
| D1120 |
|
16,080 |
15,202 |
$428K |
| D0120 |
|
14,806 |
14,037 |
$376K |
| D9230 |
|
8,321 |
7,307 |
$363K |
| D1208 |
|
18,748 |
17,708 |
$304K |
| D2391 |
|
2,303 |
1,582 |
$181K |
| D1351 |
|
6,090 |
1,616 |
$164K |
| D0150 |
|
3,437 |
3,214 |
$148K |
| D7140 |
|
1,690 |
1,027 |
$103K |
| D0272 |
|
4,853 |
4,626 |
$88K |
| D1110 |
|
2,299 |
2,204 |
$87K |
| D0220 |
|
5,584 |
5,078 |
$81K |
| D0140 |
|
1,920 |
1,789 |
$69K |
| D2930 |
|
494 |
307 |
$65K |
| D0240 |
|
3,846 |
1,861 |
$60K |
| D0230 |
|
3,911 |
1,614 |
$46K |
| D0330 |
|
530 |
519 |
$32K |
| D0274 |
|
802 |
755 |
$25K |
| D0170 |
|
342 |
313 |
$9K |
| D1206 |
|
268 |
245 |
$3K |
| D0145 |
|
106 |
81 |
$2K |
| D9420 |
|
22 |
16 |
$2K |
| D1354 |
|
218 |
64 |
$1K |
| D1330 |
|
1,225 |
1,223 |
$0.00 |
| D1310 |
|
1,069 |
1,067 |
$0.00 |
| D9630 |
|
125 |
119 |
$0.00 |