Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

David E Thome Dds PLLC Iii (NPI 1437597853)

Field	Value
Entity Type	Organization
Organization	David E Thome Dds PLLC Iii
Address	140 Mahaley Ave
City	Salisbury
State	NC
ZIP	28144
Taxonomy	Pediatric Dentistry
NPI Enumerated	June 7, 2013

Payer Source	Total Paid
Medicaid	$10.6M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

27 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D2392	Post 2 surface resin‑based composite	15,160	$100	$1.5M
D0120	Periodic oral evaluation - established patient	50,960	$30	$1.3M
D1120	Prophylaxis–child	44,560	$30	$1.2M
D9230	N/A	26,770	$40	$1.1M
D2391	Resin‑based composite – one surface, posterior	14,310	$80	$1.1M
D1208	Topical application of fluoride - excluding varnish	50,570	$20	$809.2K
D1351	Sealant - per tooth	19,130	$30	$497.3K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	13,360	$40	$494.2K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	6,450	$60	$386.7K
D0220	Intraoral - periapical first radiographic image	24,590	$10	$344.2K

Showing 1–10 of 27

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other North Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. North Carolina Distribution

David E Thome Dds PLLC Iii — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

27 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D2930	N/A	89	260	710	$140	$426.8K
D2392	Post 2 surface resin‑based composite	15	940	660	$100	$205.2K
D9230	N/A	6	460	800	$40	$127.7K
D0120	Periodic oral evaluation - established patient	20	1,440	1,210	$30	$116.6K
D1120	Prophylaxis–child	20	1,140	780	$30	$116.3K
D2391	Resin‑based composite – one surface, posterior	9	790	410	$80	$114.6K
D1351	Sealant - per tooth	28	540	980	$30	$114.4K
D2934	N/A	39	40	230	$160	$112.8K
D2393	Resin-based composite, three surfaces, posterior	381	530	200	$120	$91.8K
D3220	N/A	120	140	350	$70	$91.1K

Showing 1–10 of 27

Nearby Providers

Other providers in the same ZIP code as David E Thome Dds PLLC Iii, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lutheran Family Services	NC	Community/Behavioral Health Agency	$0	$35.3M
Salisbury Pediatric Associates PA	NC	Pediatric Adolescent Medicine Physician	$0	$25.6M
Complete Well-care Source LLC	NC	Community/Behavioral Health Agency	$0	$20.6M
Novant Health Rowan Medical Center LLC	NC	General Acute Care Hospital	$0	$19.3M
Ally Home Care Salisbury, LLC	NC	In Home Supportive Care Agency	$0	$13.4M
County Of Rowan	NC	Ambulance	$1.1M	$3.3M
Rakesh Patel	NC	Rheumatology Physician	$598.7K	$0
Chetan Amin	NC	Family Medicine Physician	$220.9K	$0
Donald Bergsma	NC	Ophthalmology Physician	$202.3K	$0
Med-trans Corporation	NC	Air Ambulance	$176.2K	$0

David E Thome Dds PLLC Iii — Billing Profile & Reimbursement Data

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David E Thome Dds PLLC Iii — Billing Profile & Reimbursement Data

Sign up for David E Thome Dds PLLC Iii — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References