Dental
M Todd Grooms DDS PA
M Todd Grooms DDS PA was paid $2.87M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D0120, dental checkup, returning patient — 19% of everything it billed.
33Billing provider infoM TODD GROOMS DDS PA
BURLINGTON, NC 27215
BURLINGTON, NC 27215
33aNPI1689852477assigned 02/05/2008
33bProvider typePediatric Dentist
28Total paid$2.87M
24GClaims103,870
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in North Carolina
Rank by total paid#48 of 195
Median peer was paid$776K
This provider vs. median3.7×
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 | 16,239 | $393K | |
| 2019 | 16,702 | $453K | |
| 2020 | 11,188 | $306K | |
| 2021 | 14,726 | $469K | |
| 2022 | 14,358 | $406K | |
| 2023 | 14,717 | $437K | |
| 2024incomplete | 15,940 | $408K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 20,505 | 19,918 | $531K |
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 17,282 | 16,802 | $470K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 3,348 | 1,773 | $354K |
| D1208 | Topical application of fluoride, excluding varnish | 9.9% | 17,234 | 16,763 | $283K |
| D1110 | Prophylaxis - adult | 6.6% | 4,919 | 4,787 | $188K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 5.9% | 3,841 | 3,598 | $169K |
| D0272 | Bitewings - two radiographic images | 5.0% | 7,900 | 7,711 | $144K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.5% | 989 | 184 | $129K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.8% | 9,081 | 4,209 | $108K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 7,245 | 6,819 | $106K |
| D1206 | Topical application of fluoride varnish | 2.6% | 4,672 | 4,550 | $74K |
| D0330 | Panoramic radiographic image | 2.0% | 1,072 | 1,040 | $58K |
11 more codes
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 1,263 | $56K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 671 | $53K |
| D9420 | 1.4% | 382 | $41K | |
| D0140 | Limited oral evaluation - problem focused | 1.4% | 1,072 | $40K |
| D1351 | Sealant - per tooth | <1% | 683 | $19K |
| D0240 | <1% | 1,146 | $18K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 199 | $12K |
| D0274 | Bitewings - four radiographic images | <1% | 230 | $7K |
| D2330 | <1% | 96 | $6K | |
| D2332 | <1% | 25 | $3K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 15 | $2K |
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 officialHAMMOND, DENISE (FINANCIAL MANAGER)