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Provider 1003947599

NPI: 1003947599Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$12.7M

$12,729,915

Total Claims

341K

Beneficiaries

257K

1.3 claims/patient

Avg Cost/Claim

$37

Monthly Spending Trend

Yearly Spending

2018
$445K
+376%
2019
$2.1M
-19%
2020
$1.7M
+30%
2021
$2.2M
-3%
2022
$2.2M
+9%
2023
$2.4M
-30%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 26% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$3.3M

24K claims · 26.3%

Your Cost: $141.32/claim|Median: $120.85
1.2× median
D7140Normal range

Extraction, erupted tooth or exposed root

$1.6M

22K claims · 12.2%

Your Cost: $69.63/claim|Median: $57.39
1.2× median
D1120Normal range

Prophylaxis, adult

$1.2M

37K claims · 9.1%

Your Cost: $30.83/claim|Median: $33.86
0.9× median
D1206Normal range

Topical application of fluoride varnish

$996K

50K claims · 7.8%

Your Cost: $19.79/claim|Median: $18.12
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$784K

38K claims · 6.2%

Your Cost: $20.75/claim|Median: $24.34
0.9× median
D1110Normal range

Prophylaxis, adult cleaning

$550K

13K claims · 4.3%

Your Cost: $40.79/claim|Median: $43.38
0.9× median
D1351Normal range

Sealant, per tooth

$445K

17K claims · 3.5%

Your Cost: $25.93/claim|Median: $26.10
1.0× median
D1354Top 5%

$443K

5,584 claims · 3.5%

Your Cost: $79.30/claim|Median: $12.52
6.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$432K

14K claims · 3.4%

Your Cost: $30.52/claim|Median: $32.07
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$401K

15K claims · 3.1%

Your Cost: $25.96/claim|Median: $26.24
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$360K

7,721 claims · 2.8%

Your Cost: $46.66/claim|Median: $54.60
0.9× median
D0272Normal range

Bitewings, two radiographic images

$332K

16K claims · 2.6%

Your Cost: $20.52/claim|Median: $15.81
1.3× median
D0140Normal range

Limited oral evaluation, problem focused

$321K

12K claims · 2.5%

Your Cost: $26.12/claim|Median: $27.07
1.0× median
D0330Top 25%

Panoramic radiographic image

$266K

5,222 claims · 2.1%

Your Cost: $51.00/claim|Median: $37.36
1.4× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$245K

4,207 claims · 1.9%

Your Cost: $58.26/claim|Median: $71.00
0.8× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$168K

2,670 claims · 1.3%

Your Cost: $62.76/claim|Median: $66.63
0.9× median
D1510Normal range

$145K

993 claims · 1.1%

Your Cost: $146.52/claim|Median: $147.00
1.0× median
D0240Normal range

$139K

11K claims · 1.1%

Your Cost: $12.79/claim|Median: $15.24
0.8× median
D0274Normal range

Bitewings, four radiographic images

$124K

4,239 claims · 1.0%

Your Cost: $29.19/claim|Median: $22.54
1.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$114K

17K claims · 0.9%

Your Cost: $6.53/claim|Median: $7.33
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$109K

11K claims · 0.9%

Your Cost: $9.63/claim|Median: $10.51
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$80K

5,441 claims · 0.6%

Your Cost: $14.69/claim|Median: $46.33
0.3× median
D2390Normal range

$74K

645 claims · 0.6%

Your Cost: $114.94/claim|Median: $170.27
0.7× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$40K

536 claims · 0.3%

Your Cost: $73.98/claim|Median: $73.58
1.0× median
D1352Normal range

$34K

1,338 claims · 0.3%

Your Cost: $25.13/claim|Median: $33.43
0.8× median
D2931Top 25%

$25K

149 claims · 0.2%

Your Cost: $165.73/claim|Median: $125.71
1.3× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$15K

564 claims · 0.1%

Your Cost: $27.29/claim|Median: $57.30
0.5× median
D0170Normal range

$12K

700 claims · 0.1%

Your Cost: $17.37/claim|Median: $24.39
0.7× median
D9248Normal range

$11K

458 claims · 0.1%

Your Cost: $24.84/claim|Median: $92.49
0.3× median
D2335Normal range

$3K

22 claims · 0.0%

Your Cost: $126.61/claim|Median: $105.06
1.2× median
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