Drake, Thomas

Drake, Thomas was paid $18K by Medicaid between Jan 2018 and May 2018, across 9 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 42% of everything it billed.

33Billing provider infoDRAKE, THOMAS
LONGMONT, CO 80501

33aNPI1386863587assigned 04/25/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$18K

24GClaims405

24DCodes billed9

24AFirst – last monthJan 2018 – May 2018

Compared with peers

Next to other General Practice Dentistry providers in Colorado

Rank by total paid#335 of 521

Median peer was paid$53K

This provider vs. median0.3×

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	405	$18K

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	42%	57	29	$8K
D1110	Prophylaxis - adult	19%	86	85	$3K
D0150	Comprehensive oral evaluation - new or established patient	11%	54	53	$2K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	8.7%	75	72	$2K
D0210	Intraoral - complete series of radiographic images	6.4%	19	19	$1K
D0140	Limited oral evaluation - problem focused	5.1%	30	28	$936.61
D0274	Bitewings - four radiographic images	4.3%	28	27	$787.92
D1206	Topical application of fluoride varnish	2.6%	29	29	$470.96
D0220	Intraoral - periapical first radiographic image	1.7%	27	25	$321.33

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.