Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DAVID E THOME DDS PLLC LI

NPI: 1649016171 · SALISBURY, NC 28144 · Pediatric Dentist · NPI assigned 07/03/2024

$71K
Total Medicaid Paid
1,197
Total Claims
303
Beneficiaries
8
Codes Billed
2024-08
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMYRICK, SONYA (CREDENTIALING)
NPI Enumeration Date07/03/2024

Related Entities

Other providers sharing the same authorized official: MYRICK, SONYA

ProviderCityStateTotal Paid
DAVID E THOME DDS PLLC VIII LOCUST NC $3.96M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 1,197 $71K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D2930 Prefabricated stainless steel crown - primary tooth 264 47 $29K
D7140 Extraction, erupted tooth or exposed root 217 34 $10K
D2934 50 12 $9K
D9420 80 58 $7K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 65 21 $7K
D2391 Resin-based composite - one surface, posterior, primary or permanent 47 15 $4K
D0230 Intraoral - periapical each additional radiographic image 395 58 $3K
D0220 Intraoral - periapical first radiographic image 79 58 $904.80