Crump, Thane

Crump, Thane was paid $2K by Medicaid between Jan 2018 and Dec 2018, across 4 billing codes. Its largest line is D0120, dental checkup, returning patient — 46% of everything it billed.

33Billing provider infoCRUMP, THANE
WATERTOWN, SD 57201

33aNPI1710195896assigned 05/20/2007

33bProvider typeEndodontist

28Total paid$2K

24GClaims690

24DCodes billed4

24AFirst – last monthJan 2018 – Dec 2018

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	690	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	46%	232	228	$882.88
D1206	Topical application of fluoride varnish	28%	213	209	$551.88
D1120	Dental cleaning, childProphylaxis - child	26%	215	211	$504.45
D0272	Bitewings - two radiographic images	0%	30	29	$0.00

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.