Clinic
Thomas J Mcdonald DDS PC
Thomas J Mcdonald DDS PC was paid $360K by Medicaid between Nov 2021 and Dec 2024, across 13 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 27% of everything it billed.
33Billing provider infoTHOMAS J MCDONALD DDS PC
MOUNT PLEASANT, MI 48858
MOUNT PLEASANT, MI 48858
33aNPI1366896490assigned 04/14/2016
33bProvider typeDental Clinic/Center
28Total paid$360K
24GClaims9,529
24DCodes billed13
24AFirst – last monthNov 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Michigan
Rank by total paid#78 of 431
Median peer was paid$24K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2021 | 153 | $4K | |
| 2022 | 2,787 | $102K | |
| 2023 | 4,235 | $182K | |
| 2024incomplete | 2,354 | $73K |
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 | 27% | 873 | 519 | $96K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 14% | 587 | 381 | $52K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 1,314 | 1,312 | $49K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 1,715 | 1,713 | $44K |
| D1110 | Prophylaxis - adult | 9.4% | 714 | 711 | $34K |
| D1206 | Topical application of fluoride varnish | 5.2% | 775 | 774 | $19K |
| D1208 | Topical application of fluoride, excluding varnish | 5.1% | 865 | 861 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 4.3% | 995 | 985 | $15K |
| D0274 | Bitewings - four radiographic images | 3.2% | 413 | 413 | $12K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.0% | 808 | 780 | $7K |
| D0272 | Bitewings - two radiographic images | 1.8% | 301 | 301 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 107 | 107 | $4K |
1 more codes
| D0330 | Panoramic radiographic image | <1% | 62 | $3K |
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 officialMCDONALD, THOMAS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Mcdonald Oral and Maxillofacial Surgery, LLC | Florence, SC | $227K |
| Tom Mcdonald MD PLLC | Lexington, TN | $54K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.