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Provider 1003232463

NPI: 1003232463Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.5M

$9,485,362

Total Claims

244K

Beneficiaries

237K

1.0 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$1.1M
-11%
2019
$934K
+37%
2020
$1.3M
+43%
2021
$1.8M
-20%
2022
$1.5M
-12%
2023
$1.3M
+22%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 19% of total spending.

D1120Top 5%

Prophylaxis, adult

$1.8M

30K claims · 18.6%

Your Cost: $59.01/claim|Median: $33.86
1.7× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.3M

32K claims · 13.4%

Your Cost: $39.85/claim|Median: $24.34
1.6× median
D2392Top 5%

Resin-based composite, two surfaces, posterior

$1.1M

6,622 claims · 11.7%

Your Cost: $168.05/claim|Median: $71.00
2.4× median
D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$677K

2,659 claims · 7.1%

Your Cost: $254.57/claim|Median: $120.85
2.1× median
D1206Top 5%

Topical application of fluoride varnish

$663K

16K claims · 7.0%

Your Cost: $41.22/claim|Median: $18.12
2.3× median
D1351Top 1%

Sealant, per tooth

$649K

5,902 claims · 6.8%

Your Cost: $109.98/claim|Median: $26.10
4.2× median
D0272Top 25%

Bitewings, two radiographic images

$537K

23K claims · 5.7%

Your Cost: $23.46/claim|Median: $15.81
1.5× median
D1110Top 10%

Prophylaxis, adult cleaning

$522K

6,582 claims · 5.5%

Your Cost: $79.38/claim|Median: $43.38
1.8× median
D2391Top 10%

Resin-based composite, one surface, posterior

$412K

4,055 claims · 4.3%

Your Cost: $101.65/claim|Median: $54.60
1.9× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$371K

19K claims · 3.9%

Your Cost: $19.30/claim|Median: $14.36
1.3× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$310K

16K claims · 3.3%

Your Cost: $19.40/claim|Median: $10.51
1.8× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$238K

2,753 claims · 2.5%

Your Cost: $86.37/claim|Median: $57.39
1.5× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$150K

929 claims · 1.6%

Your Cost: $161.39/claim|Median: $84.26
1.9× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$138K

12K claims · 1.5%

Your Cost: $11.56/claim|Median: $7.33
1.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$118K

2,903 claims · 1.2%

Your Cost: $40.70/claim|Median: $32.07
1.3× median
D0274Top 5%

Bitewings, four radiographic images

$117K

2,915 claims · 1.2%

Your Cost: $40.23/claim|Median: $22.54
1.8× median
D9223Top 25%

Deep sedation/general anesthesia, each additional 15 min

$117K

383 claims · 1.2%

Your Cost: $305.32/claim|Median: $107.14
2.8× median
D9995Normal range

$72K

3,178 claims · 0.8%

Your Cost: $22.69/claim|Median: $13.12
1.7× median
D3220Top 5%

Therapeutic pulpotomy

$63K

302 claims · 0.7%

Your Cost: $207.00/claim|Median: $81.27
2.5× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$39K

5,370 claims · 0.4%

Your Cost: $7.35/claim|Median: $26.24
0.3× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$32K

323 claims · 0.3%

Your Cost: $100.30/claim|Median: $90.28
1.1× median
D1354Normal range

$30K

1,276 claims · 0.3%

Your Cost: $23.48/claim|Median: $12.52
1.9× median
D0140Normal range

Limited oral evaluation, problem focused

$20K

1,015 claims · 0.2%

Your Cost: $19.29/claim|Median: $27.07
0.7× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$18K

431 claims · 0.2%

Your Cost: $41.64/claim|Median: $57.30
0.7× median
D2332Top 1%

$14K

61 claims · 0.1%

Your Cost: $227.32/claim|Median: $87.21
2.6× median
D2330Top 5%

Resin-based composite filling, one surface, anterior

$13K

112 claims · 0.1%

Your Cost: $114.55/claim|Median: $66.63
1.7× median
D0330Top 25%

Panoramic radiographic image

$8K

153 claims · 0.1%

Your Cost: $50.51/claim|Median: $37.36
1.4× median
D0270Top 5%

$4K

228 claims · 0.0%

Your Cost: $19.06/claim|Median: $5.46
3.5× median
D1510Normal range

$2K

13 claims · 0.0%

Your Cost: $187.38/claim|Median: $147.00
1.3× median
D0210Normal range

Intraoral, complete series of radiographic images

$1K

101 claims · 0.0%

Your Cost: $14.12/claim|Median: $46.33
0.3× median
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