Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Springfield › NPI 1578945168
Dental

Gray, Seth

Gray, Seth was paid $556K by Medicaid between Nov 2018 and Jul 2020, across 16 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 16% of everything it billed.

33Billing provider infoGRAY, SETH
SPRINGFIELD, MO 65806
33aNPI1578945168assigned 06/19/2015
33bProvider typeDentist
28Total paid$556K
24GClaims13,313
24DCodes billed16
24AFirst – last monthNov 2018 – Jul 2020
Compared with peers

Next to other Dentist providers in Missouri

Rank by total paid#48 of 284
Median peer was paid$109K
This provider vs. median5.1×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201838$1K
20199,281$388K
20203,994$167K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 16% 810 518 $88K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 10% 1,767 1,766 $57K
D2391 Resin-based composite - one surface, posterior, primary or permanent 9.7% 636 439 $54K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 8.5% 283 208 $47K
D1120 Dental cleaning, childProphylaxis - child 8.4% 1,405 1,405 $47K
D1206 Topical application of fluoride varnish 8.3% 2,063 2,062 $46K
D0274 Bitewings - four radiographic images 7.6% 1,221 1,220 $42K
D1110 Prophylaxis - adult 7.5% 895 894 $42K
D0330 Panoramic radiographic image 6.1% 573 573 $34K
D0230 Intraoral - periapical each additional radiographic image 5.4% 1,145 745 $30K
D0272 Bitewings - two radiographic images 4.1% 814 814 $23K
D0150 Comprehensive oral evaluation - new or established patient 4.0% 514 514 $22K
4 more codes
D0220 Intraoral - periapical first radiographic image 2.9% 956 $16K
D0140 Limited oral evaluation - problem focused 1.3% 156 $7K
D0210 Intraoral - complete series of radiographic images <1% 62 $732.00
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 13 $410.68

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.