Dental
Thomas, Kim
Thomas, Kim was paid $380K by Medicaid between Dec 2020 and Apr 2024, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoTHOMAS, KIM
MAGNOLIA, TX 77354
MAGNOLIA, TX 77354
33aNPI1548433204assigned 04/02/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$380K
24GClaims11,704
24DCodes billed19
24AFirst – last monthDec 2020 – Apr 2024
Compared with peers
Next to other General Practice Dentistry providers in Texas
Rank by total paid#618 of 2,774
Median peer was paid$43K
This provider vs. median8.9×
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 | 69 | $5K | |
| 2021 | 1,207 | $70K | |
| 2022 | 468 | $31K | |
| 2023 | 6,710 | $181K | |
| 2024incomplete | 3,250 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 816 | 349 | $80K |
| D1351 | Sealant - per tooth | 15% | 2,107 | 422 | $58K |
| D9248 | 14% | 441 | 409 | $53K | |
| D0145 | Oral evaluation for a patient under three years of age | 13% | 359 | 342 | $49K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 1,139 | 1,085 | $40K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.1% | 1,116 | 1,064 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 4.4% | 1,193 | 1,142 | $17K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.3% | 1,489 | 412 | $16K |
| D0274 | Bitewings - four radiographic images | 2.6% | 299 | 287 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 1.8% | 568 | 542 | $7K |
| D0272 | Bitewings - two radiographic images | 1.7% | 291 | 279 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 1.5% | 84 | 81 | $6K |
7 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 18 | $3K |
| D1110 | Prophylaxis - adult | <1% | 30 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 87 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 42 | $1K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 42 | $1K |
| D0603 | 0% | 891 | $0.00 | |
| D0602 | 0% | 692 | $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.