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Provider 1003276106

NPI: 1003276106Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$16.9M

$16,859,195

Total Claims

388K

Beneficiaries

305K

1.3 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$558K
+123%
2019
$1.2M
+10%
2020
$1.4M
+23%
2021
$1.7M
-49%
2022
$854K
+214%
2023
$2.7M
+215%
2024
$8.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7140 (Extraction, erupted tooth or exposed root)) accounts for 20% of total spending.

D7140Normal range

Extraction, erupted tooth or exposed root

$3.4M

50K claims · 20.0%

Your Cost: $67.29/claim|Median: $57.39
1.2× median
D0330Top 25%

Panoramic radiographic image

$1.6M

28K claims · 9.3%

Your Cost: $55.16/claim|Median: $37.36
1.5× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$1.4M

2,723 claims · 8.1%

Your Cost: $502.30/claim|Median: $463.40
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$1.0M

16K claims · 6.1%

Your Cost: $63.06/claim|Median: $54.60
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$1.0M

33K claims · 6.1%

Your Cost: $31.01/claim|Median: $32.07
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$995K

24K claims · 5.9%

Your Cost: $41.67/claim|Median: $43.38
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$952K

15K claims · 5.6%

Your Cost: $62.86/claim|Median: $71.00
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$637K

22K claims · 3.8%

Your Cost: $29.35/claim|Median: $27.07
1.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$564K

11K claims · 3.3%

Your Cost: $50.54/claim|Median: $46.33
1.1× median
D0274Normal range

Bitewings, four radiographic images

$429K

21K claims · 2.5%

Your Cost: $20.44/claim|Median: $22.54
0.9× median
D3320Normal range

$373K

945 claims · 2.2%

Your Cost: $394.71/claim|Median: $365.40
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$367K

16K claims · 2.2%

Your Cost: $23.10/claim|Median: $24.34
0.9× median
D1120Normal range

Prophylaxis, adult

$346K

14K claims · 2.1%

Your Cost: $24.61/claim|Median: $33.86
0.7× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$331K

4,482 claims · 2.0%

Your Cost: $73.78/claim|Median: $84.26
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$260K

40K claims · 1.5%

Your Cost: $6.56/claim|Median: $10.51
0.6× median
D2740Top 25%

Crown, porcelain/ceramic substrate

$240K

326 claims · 1.4%

Your Cost: $735.11/claim|Median: $509.58
1.4× median
D3310Normal range

$236K

692 claims · 1.4%

Your Cost: $341.59/claim|Median: $302.40
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$229K

39K claims · 1.4%

Your Cost: $5.83/claim|Median: $7.33
0.8× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$228K

2,685 claims · 1.4%

Your Cost: $85.05/claim|Median: $109.42
0.8× median
D2335Normal range

$210K

1,914 claims · 1.2%

Your Cost: $109.76/claim|Median: $105.06
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$176K

2,762 claims · 1.0%

Your Cost: $63.62/claim|Median: $66.63
1.0× median
D5110Normal range

$164K

370 claims · 1.0%

Your Cost: $444.39/claim|Median: $472.15
0.9× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$153K

1,005 claims · 0.9%

Your Cost: $152.33/claim|Median: $120.85
1.3× median
D1206Normal range

Topical application of fluoride varnish

$147K

7,091 claims · 0.9%

Your Cost: $20.68/claim|Median: $18.12
1.1× median
D2950Normal range

$141K

1,272 claims · 0.8%

Your Cost: $110.55/claim|Median: $123.37
0.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$129K

7,484 claims · 0.8%

Your Cost: $17.26/claim|Median: $14.36
1.2× median
D1351Normal range

Sealant, per tooth

$128K

4,644 claims · 0.8%

Your Cost: $27.61/claim|Median: $26.10
1.1× median
D2332Normal range

$125K

1,397 claims · 0.7%

Your Cost: $89.38/claim|Median: $87.21
1.0× median
D5120Normal range

$119K

298 claims · 0.7%

Your Cost: $400.93/claim|Median: $468.71
0.9× median
D2394Normal range

$110K

1,180 claims · 0.7%

Your Cost: $93.00/claim|Median: $102.14
0.9× median
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