Dental
Martin, Thomas
Martin, Thomas was paid $25K by Medicaid between Jan 2018 and Mar 2023, across 10 billing codes. Its largest line is D2393, Resin-based composite - three surfaces, posterior, primary or permanent — 30% of everything it billed.
33Billing provider infoMARTIN, THOMAS
TONAWANDA, NY 14223
TONAWANDA, NY 14223
33aNPI1588820799assigned 08/07/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$25K
24GClaims621
24DCodes billed10
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,339 of 2,184
Median peer was paid$54K
This provider vs. median0.5×
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 | 47 | $2K | |
| 2022 | 68 | $2K | |
| 2023 | 506 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 30% | 75 | 36 | $8K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 22% | 73 | 33 | $6K |
| D1110 | Prophylaxis - adult | 16% | 74 | 74 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 109 | 109 | $3K |
| D0330 | Panoramic radiographic image | 10% | 92 | 92 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 3.6% | 34 | 34 | $909.15 |
| D1120 | Dental cleaning, childProphylaxis - child | 3.4% | 21 | 21 | $857.85 |
| D1206 | Topical application of fluoride varnish | 1.8% | 51 | 51 | $461.70 |
| D0274 | Bitewings - four radiographic images | <1% | 76 | 76 | $192.85 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 16 | 16 | $39.90 |
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.