Dental
Thome & Kankash DDS PLLC I
Thome & Kankash DDS PLLC I was paid $1.17M by Medicaid between Oct 2020 and Dec 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 14% of everything it billed.
33Billing provider infoTHOME & KANKASH DDS PLLC I
FUQUAY VARINA, NC 27526
FUQUAY VARINA, NC 27526
33aNPI1396388096assigned 10/25/2019
33bProvider typePediatric Dentist
28Total paid$1.17M
24GClaims41,865
24DCodes billed26
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in North Carolina
Rank by total paid#86 of 195
Median peer was paid$776K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2020 | 1,013 | $22K | |
| 2021 | 7,230 | $214K | |
| 2022 | 8,393 | $241K | |
| 2023 | 10,104 | $286K | |
| 2024incomplete | 15,125 | $408K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 6,156 | 5,966 | $168K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 4,483 | 4,410 | $118K |
| D1208 | Topical application of fluoride, excluding varnish | 9.4% | 6,587 | 6,379 | $110K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.0% | 1,001 | 647 | $105K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.8% | 2,281 | 2,055 | $103K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.3% | 2,216 | 2,082 | $97K |
| D1351 | Sealant - per tooth | 6.6% | 2,833 | 809 | $77K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.2% | 554 | 223 | $72K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.0% | 722 | 520 | $59K |
| D0272 | Bitewings - two radiographic images | 3.6% | 2,421 | 2,290 | $42K |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 2,811 | 2,569 | $42K |
| D0240 | 3.2% | 2,360 | 1,146 | $37K |
14 more codes
| D0140 | Limited oral evaluation - problem focused | 2.9% | 920 | $34K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 2,633 | $30K |
| D1110 | Prophylaxis - adult | 2.0% | 608 | $23K |
| D0330 | Panoramic radiographic image | 1.3% | 284 | $16K |
| D7140 | Extraction, erupted tooth or exposed root | 1.1% | 220 | $13K |
| D1354 | <1% | 1,814 | $8K | |
| D0170 | <1% | 218 | $6K | |
| D0274 | Bitewings - four radiographic images | <1% | 132 | $4K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 194 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 159 | $2K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 18 | $1K |
| D1330 | 0% | 155 | $0.00 | |
| D1310 | 0% | 70 | $0.00 | |
| D9630 | 0% | 15 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialTHOME, DAVID (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Howards Medical LLC | Yakima, WA | $7.18M |
| Thome & Zimmer DDS PLLC I | Shelby, NC | $4.53M |
| David E Thome DDS PLLC Ix | Concord, NC | $1.30M |
| David E Thome DDS PLLC Xii | Dunn, NC | $1.19M |
| Thome Enterprise L L C | Selah, WA | $874K |
| David E Thome DDS PLLC Xi | Charlotte, NC | $578K |
| David E Thome DDS PLLC Xiii | Charlotte, NC | $578K |
| David E Thome DDS PLLC X | Sherrills Ford, NC | $285K |
| David E Thome DDS PLLC Xiv | Charlotte, NC | $171K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.