Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KS › Overland Park › NPI 1700901188
Dental

Gray, Stefanie

Gray, Stefanie was paid $690K by Medicaid between Jan 2018 and Jul 2020, across 22 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 19% of everything it billed.

33Billing provider infoGRAY, STEFANIE
OVERLAND PARK, KS 66213
33aNPI1700901188assigned 03/21/2007
28Total paid$690K
24GClaims29,209
24DCodes billed22
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers

Next to other General Practice Dentistry providers in Kansas

Rank by total paid#22 of 203
Median peer was paid$40K
This provider vs. median17×

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
201812,671$361K
201913,355$266K
20203,183$62K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 19% 1,969 643 $128K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 15% 1,972 1,149 $107K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 10.0% 3,383 3,325 $69K
D1120 Dental cleaning, childProphylaxis - child 8.1% 3,075 3,017 $56K
D2391 Resin-based composite - one surface, posterior, primary or permanent 6.6% 1,140 701 $46K
D1208 Topical application of fluoride, excluding varnish 4.7% 3,241 3,189 $33K
D0272 Bitewings - two radiographic images 4.2% 2,303 2,261 $29K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 4.2% 1,642 1,535 $29K
D7140 Extraction, erupted tooth or exposed root 4.0% 682 372 $28K
D0150 Comprehensive oral evaluation - new or established patient 4.0% 819 802 $27K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 2.9% 447 202 $20K
D0230 Intraoral - periapical each additional radiographic image 2.7% 2,330 1,525 $19K
10 more codes
D1110 Prophylaxis - adult 2.5% 703 $17K
D0220 Intraoral - periapical first radiographic image 2.4% 2,048 $17K
D0210 Intraoral - complete series of radiographic images 2.2% 668 $15K
D0330 Panoramic radiographic image 1.9% 511 $13K
D1206 Topical application of fluoride varnish 1.5% 889 $10K
D0274 Bitewings - four radiographic images 1.5% 584 $10K
D1351 Sealant - per tooth 1.3% 589 $9K
D9420 <1% 89 $4K
D0145 Oral evaluation for a patient under three years of age <1% 99 $3K
D0140 Limited oral evaluation - problem focused <1% 26 $417.00

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.