DO, Tho

DO, Tho was paid $9K by Medicaid between Jan 2020 and Feb 2020, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 22% of everything it billed.

33Billing provider infoDO, THO
OVERLAND PARK, KS 66210

33aNPI1437625258assigned 10/19/2018

33bProvider typeGeneral Practice Dentistry

28Total paid$9K

24GClaims701

24DCodes billed10

24AFirst – last monthJan 2020 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in Kansas

Rank by total paid#136 of 203

Median peer was paid$40K

This provider vs. median0.2×

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	701	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	22%	137	137	$2K
D1206	Topical application of fluoride varnish	15%	155	155	$1K
D1110	Prophylaxis - adult	14%	63	63	$1K
D1120	Dental cleaning, childProphylaxis - child	12%	90	90	$1K
D0330	Panoramic radiographic image	11%	44	44	$1K
D0274	Bitewings - four radiographic images	8.7%	61	61	$829.00
D0272	Bitewings - two radiographic images	8.0%	81	81	$756.00
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	4.6%	14	12	$440.00
D1351	Sealant - per tooth	3.5%	32	14	$336.00
D0220	Intraoral - periapical first radiographic image	1.5%	24	24	$141.00

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.