Spray, Thomas

Spray, Thomas was paid $1K by Medicaid between Nov 2022 and Jun 2023, across 2 billing codes. Its largest line is D0120, dental checkup, returning patient — 56% of everything it billed.

33Billing provider infoSPRAY, THOMAS
SOUTH ST PAUL, MN 55075

33aNPI1508922212assigned 12/28/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$1K

24GClaims39

24DCodes billed2

24AFirst – last monthNov 2022 – Jun 2023

Compared with peers

Next to other General Practice Dentistry providers in Minnesota

Rank by total paid#288 of 368

Median peer was paid$19K

This provider vs. median0.1×

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
2022	26	$759.50
2023	13	$398.40

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	56%	26	25	$646.68
D1110	Prophylaxis - adult	44%	13	12	$511.22

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.