Dental
Theobald, Timothy
Theobald, Timothy was paid $288K by Medicaid between Jan 2018 and Sep 2024, across 11 billing codes. Its largest line is D1120, dental cleaning, child — 40% of everything it billed.
33Billing provider infoTHEOBALD, TIMOTHY
NORTH CHICAGO, IL 60064
NORTH CHICAGO, IL 60064
33aNPI1497156731assigned 09/05/2014
33bProvider typeGeneral Practice Dentistry
28Total paid$288K
24GClaims8,740
24DCodes billed11
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other General Practice Dentistry providers in Illinois
Rank by total paid#366 of 1,017
Median peer was paid$123K
This provider vs. median2.3×
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 | 1,002 | $42K | |
| 2019 | 1,195 | $43K | |
| 2020 | 1,365 | $40K | |
| 2021 | 1,177 | $36K | |
| 2022 | 1,553 | $47K | |
| 2023 | 1,674 | $53K | |
| 2024incomplete | 774 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 40% | 2,830 | 2,732 | $115K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 2,815 | 2,715 | $78K |
| D1208 | Topical application of fluoride, excluding varnish | 14% | 1,569 | 1,502 | $40K |
| D8670 | Periodic orthodontic treatment visit | 8.6% | 113 | 105 | $25K |
| D0274 | Bitewings - four radiographic images | 7.1% | 1,177 | 1,130 | $20K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.5% | 26 | 25 | $4K |
| D1351 | Sealant - per tooth | 1.2% | 26 | 15 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 53 | 52 | $906.36 |
| D0210 | Intraoral - complete series of radiographic images | <1% | 39 | 28 | $537.30 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 34 | 25 | $179.20 |
| D1999 | 0% | 58 | 54 | $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.