Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Philip Thomas

Dentist, Pediatric Dentistry·Longview, TX·NPI: 1104951284SharePrint ReportML Risk: 83%

Compared to Dentist, Pediatric Dentistry Peers

Total spending distribution among 6 providers in this specialty

P25MedianP75P90

This provider's total spending of $225K is at the below 25th percentile among 6 Dentist, Pediatric Dentistry providers.

Total Paid

$225K

$225,267

Total Claims

4,322

Beneficiaries

1,314

3.3 claims/patient

Avg Cost/Claim

$52

🔍 Analysis

Provider Overview

Philip Thomas is a Dentist, Pediatric Dentistry provider based in Longview, TX. From 2022-12 through 2024-03, this provider received $225K in Medicaid payments across 4K claims serving 1K beneficiaries, billing 8 distinct procedure codes.

Key Findings

  • 📊Spending more than doubled from $11K in 2022 to $57K in 2024 (424% growth).
  • 📊Saw a 14.4× spike in 2023 ($11K → $157K), a sharp year-over-year increase.

Yearly Spending

2022
$11K
+1338%
2023
$157K
-64%
2024
$57K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 74% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$166K

2,419 claims · 73.7%

Your Cost: $68.64/claim|Median: $120.85
0.6× median
D3220Normal range

Therapeutic pulpotomy

$48K

1,260 claims · 21.2%

Your Cost: $37.98/claim|Median: $81.27
0.5× median
D2934Normal range

$5K

65 claims · 2.2%

Your Cost: $74.56/claim|Median: $143.67
0.5× median
D0350Normal range

$4K

421 claims · 1.6%

Your Cost: $8.47/claim|Median: $9.73
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$2K

62 claims · 0.9%

Your Cost: $32.03/claim|Median: $57.39
0.6× median
D0272Normal range

Bitewings, two radiographic images

$806

69 claims · 0.4%

Your Cost: $11.68/claim|Median: $15.81
0.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$82

13 claims · 0.0%

Your Cost: $6.28/claim|Median: $10.51
0.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$75

13 claims · 0.0%

Your Cost: $5.76/claim|Median: $7.33
0.8× median

Similar Providers

Other top providers in Dentist, Pediatric Dentistry