Dental
David E Thome DDS PLLC Xii
David E Thome DDS PLLC Xii was paid $1.19M by Medicaid between Dec 2021 and Dec 2024, across 26 billing codes. Its largest line is D1120, dental cleaning, child — 12% of everything it billed.
33Billing provider infoDAVID E THOME DDS PLLC XII
DUNN, NC 28334
DUNN, NC 28334
33aNPI1912588476assigned 04/16/2021
33bProvider typePediatric Dentist
28Total paid$1.19M
24GClaims43,081
24DCodes billed26
24AFirst – last monthDec 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in North Carolina
Rank by total paid#84 of 195
Median peer was paid$776K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2021 | 160 | $4K | |
| 2022 | 11,666 | $326K | |
| 2023 | 13,645 | $406K | |
| 2024incomplete | 17,610 | $457K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 5,459 | 5,218 | $146K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 12% | 1,060 | 428 | $145K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,245 | 880 | $127K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 8.7% | 2,415 | 2,164 | $104K |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.6% | 2,364 | 2,231 | $103K |
| D1208 | Topical application of fluoride, excluding varnish | 7.8% | 5,705 | 5,430 | $93K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 3,393 | 3,253 | $87K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.3% | 816 | 600 | $64K |
| D1351 | Sealant - per tooth | 5.0% | 2,321 | 694 | $59K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 3,149 | 2,882 | $45K |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 1,082 | 1,009 | $38K |
| D0272 | Bitewings - two radiographic images | 3.2% | 2,215 | 2,100 | $38K |
14 more codes
| D0240 | 2.7% | 2,065 | $32K | |
| D0230 | Intraoral - periapical each additional radiographic image | 2.6% | 2,795 | $31K |
| D7140 | Extraction, erupted tooth or exposed root | 2.3% | 445 | $27K |
| D0170 | <1% | 383 | $11K | |
| D0330 | Panoramic radiographic image | <1% | 178 | $10K |
| D1354 | <1% | 2,214 | $9K | |
| D1110 | Prophylaxis - adult | <1% | 256 | $9K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 334 | $7K |
| D1206 | Topical application of fluoride varnish | <1% | 262 | $4K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 36 | $3K |
| D9420 | <1% | 13 | $2K | |
| D0274 | Bitewings - four radiographic images | <1% | 13 | $436.15 |
| D1330 | 0% | 1,969 | $0.00 | |
| D1310 | 0% | 894 | $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 officialTHOME, DAVID (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Howards Medical LLC | Yakima, WA | $7.18M |
| Thome & Zimmer DDS PLLC I | Shelby, NC | $4.53M |
| David E Thome DDS PLLC Ix | Concord, NC | $1.30M |
| Thome & Kankash DDS PLLC I | Fuquay Varina, NC | $1.17M |
| Thome Enterprise L L C | Selah, WA | $874K |
| David E Thome DDS PLLC Xi | Charlotte, NC | $578K |
| David E Thome DDS PLLC Xiii | Charlotte, NC | $578K |
| David E Thome DDS PLLC X | Sherrills Ford, NC | $285K |
| David E Thome DDS PLLC Xiv | Charlotte, NC | $171K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.