Dental
Thane C. Hisaw, DMD, PA
Thane C. Hisaw, DMD, PA was paid $2.20M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoTHANE C. HISAW, DMD, PA
GREENSBORO, NC 27405
GREENSBORO, NC 27405
33aNPI1376983213assigned 06/25/2013
33bProvider typePediatric Dentist
28Total paid$2.20M
24GClaims78,417
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in North Carolina
Rank by total paid#62 of 195
Median peer was paid$776K
This provider vs. median2.8×
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 | 10,242 | $281K | |
| 2019 | 11,281 | $340K | |
| 2020 | 7,737 | $233K | |
| 2021 | 10,125 | $299K | |
| 2022 | 11,668 | $343K | |
| 2023 | 11,930 | $339K | |
| 2024incomplete | 15,434 | $364K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 14,862 | 13,875 | $372K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 14,925 | 13,848 | $361K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 3,488 | 1,755 | $346K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 15,981 | 14,863 | $242K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.8% | 3,058 | 2,779 | $127K |
| D1351 | Sealant - per tooth | 5.6% | 5,383 | 1,337 | $124K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.5% | 1,683 | 1,007 | $121K |
| D0272 | Bitewings - two radiographic images | 4.4% | 6,122 | 5,704 | $97K |
| D7140 | Extraction, erupted tooth or exposed root | 3.7% | 1,422 | 661 | $82K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 1,890 | 1,755 | $74K |
| D0140 | Limited oral evaluation - problem focused | 3.3% | 2,127 | 1,915 | $73K |
| D1110 | Prophylaxis - adult | 3.1% | 2,082 | 1,878 | $68K |
7 more codes
| D0240 | 2.1% | 3,060 | $46K | |
| D0330 | Panoramic radiographic image | 1.5% | 734 | $34K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 832 | $12K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 101 | $11K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 614 | $7K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 34 | $3K |
| D9420 | <1% | 19 | $742.50 |
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.
From NPPES
Who's on the registration
Authorized officialHISAW, THANE (PRESIDENT)