Cooney, Thomas

Cooney, Thomas was paid $105K by Medicaid between Jan 2018 and Dec 2020, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 26% of everything it billed.

33Billing provider infoCOONEY, THOMAS
INDIANOLA, IA 50125

33aNPI1710958863assigned 01/27/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$105K

24GClaims4,570

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other General Practice Dentistry providers in Iowa

Rank by total paid#108 of 437

Median peer was paid$22K

This provider vs. median4.8×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

OIG exclusionListed on the federal exclusion list (11/20/2022).

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	2,276	$53K
2019	1,726	$40K
2020	568	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	26%	806	784	$27K
D7140	Extraction, erupted tooth or exposed root	15%	316	161	$15K
D0140	Limited oral evaluation - problem focused	10%	466	448	$11K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.7%	654	633	$10K
D0150	Comprehensive oral evaluation - new or established patient	9.2%	451	442	$10K
D1208	Topical application of fluoride, excluding varnish	8.7%	683	659	$9K
D0274	Bitewings - four radiographic images	8.1%	392	377	$8K
D0220	Intraoral - periapical first radiographic image	4.8%	549	513	$5K
D2150	Silver amalgam - two surfaces, primary or permanent	3.7%	73	44	$4K
D1120	Dental cleaning, childProphylaxis - child	2.4%	124	115	$3K
D2140		1.2%	28	17	$1K
D0330	Panoramic radiographic image	<1%	28	27	$947.55

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.