Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Thomas E Condron DDS

Thomas E Condron DDS was paid $492K by Medicaid between Jan 2018 and Mar 2023, across 23 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 20% of everything it billed.

33Billing provider infoTHOMAS E CONDRON DDS
CLARKSBURG, WV 26301
33aNPI1457415135assigned 12/20/2006
28Total paid$492K
24GClaims15,697
24DCodes billed23
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers

Next to other General Practice Dentistry providers in West Virginia

Rank by total paid#31 of 193
Median peer was paid$44K
This provider vs. median11×

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
20182,237$69K
20191,813$34K
20204,001$96K
20213,636$147K
20223,168$117K
2023842$29K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7140 Extraction, erupted tooth or exposed root 20% 1,376 691 $100K
D0140 Limited oral evaluation - problem focused 14% 2,019 1,756 $68K
D1110 Prophylaxis - adult 9.2% 910 837 $45K
D0230 Intraoral - periapical each additional radiographic image 8.6% 4,039 686 $42K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 8.4% 317 185 $41K
D0220 Intraoral - periapical first radiographic image 7.1% 2,344 1,521 $35K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 4.5% 904 758 $22K
D1120 Dental cleaning, childProphylaxis - child 4.0% 558 467 $20K
D1208 Topical application of fluoride, excluding varnish 3.8% 869 727 $19K
D1351 Sealant - per tooth 3.5% 529 54 $17K
D0330 Panoramic radiographic image 3.3% 266 244 $16K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.2% 160 126 $16K
11 more codes
D2391 Resin-based composite - one surface, posterior, primary or permanent 2.6% 230 $13K
D0210 Intraoral - complete series of radiographic images 1.5% 96 $7K
D9630 1.3% 318 $6K
D1320 1.1% 217 $5K
D0150 Comprehensive oral evaluation - new or established patient <1% 139 $5K
D2330 <1% 73 $4K
D0274 Bitewings - four radiographic images <1% 129 $4K
D2335 <1% 26 $2K
D1206 Topical application of fluoride varnish <1% 95 $2K
D0270 <1% 68 $1K
D0272 Bitewings - two radiographic images <1% 15 $412.50

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 officialCONDRON, THOMAS (DENTIST)