Dental
Kaleb C Thompson, DMD, PA Iiii
Kaleb C Thompson, DMD, PA Iiii was paid $624K by Medicaid between Sep 2023 and Dec 2024, across 24 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 25% of everything it billed.
33Billing provider infoKALEB C THOMPSON, DMD, PA IIII
ELIZABETH CITY, NC 27909
ELIZABETH CITY, NC 27909
33aNPI1730864547assigned 06/19/2023
33bProvider typeGeneral Practice Dentistry
28Total paid$624K
24GClaims17,958
24DCodes billed24
24AFirst – last monthSep 2023 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in North Carolina
Rank by total paid#193 of 756
Median peer was paid$121K
This provider vs. median5.2×
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 | |
|---|---|---|---|
| 2023 | 3,396 | $120K | |
| 2024incomplete | 14,562 | $504K |
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 | 25% | 1,628 | 753 | $155K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 1,760 | 1,560 | $71K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.7% | 2,196 | 1,968 | $54K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 7.1% | 363 | 243 | $45K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.4% | 1,467 | 1,303 | $33K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.1% | 458 | 227 | $32K |
| D1206 | Topical application of fluoride varnish | 5.0% | 2,126 | 1,905 | $31K |
| D0330 | Panoramic radiographic image | 4.8% | 662 | 585 | $30K |
| D1110 | Prophylaxis - adult | 3.9% | 716 | 640 | $24K |
| D7140 | Extraction, erupted tooth or exposed root | 3.2% | 361 | 207 | $20K |
| D0220 | Intraoral - periapical first radiographic image | 2.9% | 1,326 | 1,183 | $18K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.7% | 1,185 | 828 | $17K |
12 more codes
| D0272 | Bitewings - two radiographic images | 2.3% | 890 | $14K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.2% | 360 | $14K |
| D0140 | Limited oral evaluation - problem focused | 2.1% | 391 | $13K |
| D1351 | Sealant - per tooth | 1.8% | 468 | $11K |
| D0274 | Bitewings - four radiographic images | 1.8% | 477 | $11K |
| D2394 | 1.4% | 65 | $9K | |
| D0240 | 1.3% | 390 | $8K | |
| D1208 | Topical application of fluoride, excluding varnish | 1.3% | 561 | $8K |
| D2332 | <1% | 19 | $2K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 14 | $2K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 14 | $932.80 |
| D3120 | 0% | 61 | $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.
From NPPES
Who's on the registration
Authorized officialHASLAM, MONIQUE (BUSINESS DIRECTOR)