Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Bowling Green › NPI 1396242012

Thomas, Dominique

Thomas, Dominique was paid $171K by Medicaid between Oct 2022 and Apr 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.

33Billing provider infoTHOMAS, DOMINIQUE
BOWLING GREEN, OH 43402
33aNPI1396242012assigned 04/09/2018
28Total paid$171K
24GClaims6,770
24DCodes billed16
24AFirst – last monthOct 2022 – Apr 2024
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Ohio

Rank by total paid#7 of 290
Median peer was paid$5K
This provider vs. median35×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20221,225$24K
20235,222$138K
2024incomplete323$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 20% 1,220 1,192 $34K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 14% 1,084 1,058 $23K
D7140 Extraction, erupted tooth or exposed root 12% 255 145 $21K
D1208 Topical application of fluoride, excluding varnish 9.5% 951 925 $16K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 5.8% 150 102 $10K
D2391 Resin-based composite - one surface, posterior, primary or permanent 5.6% 193 130 $10K
D0272 Bitewings - two radiographic images 5.2% 592 574 $9K
D0150 Comprehensive oral evaluation - new or established patient 4.9% 270 268 $8K
D1351 Sealant - per tooth 4.8% 340 129 $8K
D1206 Topical application of fluoride varnish 4.1% 401 399 $7K
D1110 Prophylaxis - adult 3.7% 170 166 $6K
D0140 Limited oral evaluation - problem focused 3.3% 203 188 $6K
4 more codes
D0220 Intraoral - periapical first radiographic image 3.0% 526 $5K
D0330 Panoramic radiographic image 2.8% 86 $5K
D0230 Intraoral - periapical each additional radiographic image 1.3% 317 $2K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 12 $324.00

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.