Dental
David E Thome DDS PLLC Xiv
David E Thome DDS PLLC Xiv was paid $171K by Medicaid between Jun 2023 and Dec 2024, across 17 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 23% of everything it billed.
33Billing provider infoDAVID E THOME DDS PLLC XIV
CHARLOTTE, NC 28269
CHARLOTTE, NC 28269
33aNPI1588352017assigned 04/24/2023
33bProvider typePediatric Dentist
28Total paid$171K
24GClaims6,423
24DCodes billed17
24AFirst – last monthJun 2023 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in North Carolina
Rank by total paid#144 of 195
Median peer was paid$776K
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 | |
|---|---|---|---|
| 2023 | 2,117 | $41K | |
| 2024incomplete | 4,306 | $131K |
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 | 23% | 364 | 168 | $39K |
| D1120 | Dental cleaning, childProphylaxis - child | 15% | 954 | 942 | $26K |
| D1208 | Topical application of fluoride, excluding varnish | 11% | 1,136 | 1,121 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 421 | 415 | $19K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.9% | 646 | 639 | $17K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 7.8% | 304 | 283 | $13K |
| D0240 | 5.9% | 619 | 309 | $10K | |
| D1351 | Sealant - per tooth | 4.8% | 523 | 79 | $8K |
| D1110 | Prophylaxis - adult | 3.3% | 154 | 151 | $6K |
| D0272 | Bitewings - two radiographic images | 3.0% | 286 | 279 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.8% | 57 | 26 | $5K |
| D0274 | Bitewings - four radiographic images | <1% | 53 | 52 | $2K |
5 more codes
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 officialTHOME, DAVID (OWNER/ DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Howards Medical LLC | Yakima, WA | $7.18M |
| Thome & Zimmer DDS PLLC I | Shelby, NC | $4.53M |
| David E Thome DDS PLLC Ix | Concord, NC | $1.30M |
| David E Thome DDS PLLC Xii | Dunn, NC | $1.19M |
| Thome & Kankash DDS PLLC I | Fuquay Varina, NC | $1.17M |
| Thome Enterprise L L C | Selah, WA | $874K |
| David E Thome DDS PLLC Xi | Charlotte, NC | $578K |
| David E Thome DDS PLLC Xiii | Charlotte, NC | $578K |
| David E Thome DDS PLLC X | Sherrills Ford, NC | $285K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.