Pompey, Tina

Pompey, Tina was paid $483K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 19% of everything it billed.

33Billing provider infoPOMPEY, TINA
INDIAN TRAIL, NC 28079

33aNPI1679787444assigned 05/10/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$483K

24GClaims19,676

24DCodes billed15

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other General Practice Dentistry providers in North Carolina

Rank by total paid#220 of 756

Median peer was paid$121K

This provider vs. median4.0×

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	2,409	$57K
2019	2,432	$55K
2020	1,911	$46K
2021	2,215	$53K
2022	2,735	$68K
2023	3,971	$121K
2024incomplete	4,003	$83K

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	19%	925	516	$92K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	17%	3,495	3,211	$84K
D1110	Prophylaxis - adult	16%	2,193	2,000	$77K
D1206	Topical application of fluoride varnish	11%	3,438	3,172	$52K
D1120	Dental cleaning, childProphylaxis - child	9.8%	1,902	1,759	$47K
D0230	Intraoral - periapical each additional radiographic image	7.5%	3,293	1,688	$36K
D0220	Intraoral - periapical first radiographic image	6.3%	2,213	2,011	$31K
D0274	Bitewings - four radiographic images	4.5%	831	740	$22K
D0272	Bitewings - two radiographic images	2.3%	817	746	$11K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	2.1%	81	54	$10K
D0150	Comprehensive oral evaluation - new or established patient	2.1%	255	236	$10K
D0330	Panoramic radiographic image	1.3%	116	114	$6K

3 more codes

D2391	Resin-based composite - one surface, posterior, primary or permanent	<1%	40	$3K
D0140	Limited oral evaluation - problem focused	<1%	64	$2K
D1208	Topical application of fluoride, excluding varnish	<1%	13	$224.77

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.