Swanson, Tom

Swanson, Tom was paid $1.31M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 18% of everything it billed.

33Billing provider infoSWANSON, TOM
PORTSMOUTH, RI 02871

33aNPI1487839130assigned 12/31/2007

33bProvider typePediatric Dentist

28Total paid$1.31M

24GClaims30,845

24DCodes billed19

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Dentist providers in Rhode Island

Rank by total paid#8 of 29

Median peer was paid$643K

This provider vs. median2.0×

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	7,479	$315K
2019	4,448	$195K
2020	4,503	$196K
2021	3,780	$167K
2022	3,749	$156K
2023	3,920	$162K
2024incomplete	2,966	$116K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1206	Topical application of fluoride varnish	18%	6,835	6,116	$237K
D1120	Dental cleaning, childProphylaxis - child	17%	5,385	4,814	$226K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	15%	1,777	1,164	$190K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.2%	5,879	5,239	$121K
D8670	Periodic orthodontic treatment visit	6.5%	1,038	885	$85K
D1110	Prophylaxis - adult	6.4%	1,367	1,231	$83K
D7140	Extraction, erupted tooth or exposed root	6.3%	970	527	$82K
D2391	Resin-based composite - one surface, posterior, primary or permanent	4.2%	706	536	$54K
D0274	Bitewings - four radiographic images	3.3%	1,253	1,149	$43K
D1351	Sealant - per tooth	3.1%	1,234	343	$41K
D0272	Bitewings - two radiographic images	2.6%	1,432	1,234	$34K
D0330	Panoramic radiographic image	2.5%	541	511	$32K

7 more codes

D1310		2.2%	835	$28K
D1330		1.9%	832	$25K
D0150	Comprehensive oral evaluation - new or established patient	1.6%	590	$21K
D9920		<1%	89	$2K
D0240		<1%	25	$1K
D0220	Intraoral - periapical first radiographic image	<1%	44	$660.00
D0140	Limited oral evaluation - problem focused	<1%	13	$429.00

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.