Dental
Culberson R Boren DDS
Culberson R Boren DDS was paid $2.58M by Medicaid between Oct 2018 and Dec 2024, across 27 billing codes. Its largest line is D1351, Sealant - per tooth — 12% of everything it billed.
33Billing provider infoCULBERSON R BOREN DDS
JACKSONVILLE, TX 75766
JACKSONVILLE, TX 75766
33aNPI1215208947assigned 01/26/2012
33bProvider typePediatric Dentist
28Total paid$2.58M
24GClaims93,020
24DCodes billed27
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in Texas
Rank by total paid#93 of 693
Median peer was paid$252K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2018 | 38 | $288.84 | |
| 2019 | 43 | $640.94 | |
| 2020 | 4,265 | $102K | |
| 2021 | 24,230 | $660K | |
| 2022 | 25,405 | $721K | |
| 2023 | 18,247 | $511K | |
| 2024incomplete | 20,792 | $590K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 12% | 11,735 | 3,329 | $307K |
| D1120 | Dental cleaning, childProphylaxis - child | 12% | 8,504 | 8,403 | $297K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 11% | 2,080 | 1,009 | $291K |
| D0145 | Oral evaluation for a patient under three years of age | 11% | 1,971 | 1,958 | $273K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.7% | 8,163 | 8,061 | $225K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.2% | 2,267 | 1,545 | $212K |
| D1208 | Topical application of fluoride, excluding varnish | 5.7% | 10,441 | 10,310 | $147K |
| D0272 | Bitewings - two radiographic images | 5.5% | 6,622 | 6,511 | $141K |
| D9248 | 4.5% | 1,149 | 1,116 | $117K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 1,528 | 981 | $97K |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 8,320 | 8,136 | $96K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 4,391 | 4,052 | $82K |
15 more codes
| D1110 | Prophylaxis - adult | 3.0% | 1,509 | $78K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.0% | 7,401 | $78K |
| D0274 | Bitewings - four radiographic images | 1.5% | 1,204 | $38K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.3% | 1,008 | $33K |
| D0330 | Panoramic radiographic image | 1.3% | 913 | $33K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 296 | $23K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 102 | $5K |
| D0140 | Limited oral evaluation - problem focused | <1% | 179 | $3K |
| D0270 | <1% | 503 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 27 | $2K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 15 | $2K |
| D2331 | <1% | 19 | $1K | |
| D9420 | <1% | 13 | $432.93 | |
| D0603 | 0% | 12,144 | $0.00 | |
| D0191 | 0% | 516 | $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 officialBOREN, CULBERSON (OWNER/ DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Culberson R. Boren, D.D.S., P.A. | Tyler, TX | $4.13M |
| Culberson R Boren DDS PA | Longview, TX | $2.85M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.