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Provider 1003953126

NPI: 1003953126Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$13.7M

$13,708,367

Total Claims

147K

Beneficiaries

110K

1.3 claims/patient

Avg Cost/Claim

$93

Monthly Spending Trend

Yearly Spending

2018
$806K
+69%
2019
$1.4M
-48%
2020
$702K
+235%
2021
$2.4M
+8%
2022
$2.5M
+20%
2023
$3.1M
-6%
2024
$2.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D3330 (Endodontic therapy, molar (excluding final restoration))) accounts for 30% of total spending.

D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$4.2M

9,009 claims · 30.4%

Your Cost: $462.08/claim|Median: $463.40
1.0× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$1.8M

28K claims · 13.0%

Your Cost: $64.62/claim|Median: $32.07
2.0× median
D2751Normal range

Crown, porcelain fused to predominantly base metal

$1.1M

2,284 claims · 7.9%

Your Cost: $474.43/claim|Median: $476.00
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$856K

18K claims · 6.2%

Your Cost: $47.20/claim|Median: $46.33
1.0× median
D3320Normal range

$829K

2,274 claims · 6.0%

Your Cost: $364.54/claim|Median: $365.40
1.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$673K

5,631 claims · 4.9%

Your Cost: $119.52/claim|Median: $109.42
1.1× median
D7240Normal range

Extraction, impacted tooth, complete bony

$664K

2,871 claims · 4.8%

Your Cost: $231.14/claim|Median: $231.00
1.0× median
D3348Normal range

$651K

1,408 claims · 4.8%

Your Cost: $462.66/claim|Median: $463.40
1.0× median
D9223Top 25%

Deep sedation/general anesthesia, each additional 15 min

$576K

2,309 claims · 4.2%

Your Cost: $249.53/claim|Median: $107.14
2.3× median
D7230Normal range

Extraction, impacted tooth, partial bony

$448K

2,359 claims · 3.3%

Your Cost: $189.71/claim|Median: $187.09
1.0× median
D3310Normal range

$280K

928 claims · 2.0%

Your Cost: $301.99/claim|Median: $302.40
1.0× median
D9430Normal range

$211K

6,669 claims · 1.5%

Your Cost: $31.66/claim|Median: $31.69
1.0× median
D2954Normal range

$204K

1,949 claims · 1.5%

Your Cost: $104.41/claim|Median: $104.95
1.0× median
D0330Normal range

Panoramic radiographic image

$197K

6,696 claims · 1.4%

Your Cost: $29.49/claim|Median: $37.36
0.8× median
D9222Top 25%

Deep sedation/general anesthesia, first 15 minutes

$189K

1,547 claims · 1.4%

Your Cost: $122.22/claim|Median: $90.28
1.4× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$144K

35K claims · 1.0%

Your Cost: $4.13/claim|Median: $7.33
0.6× median
D4341Normal range

Periodontal scaling, per quadrant

$115K

1,778 claims · 0.8%

Your Cost: $64.84/claim|Median: $70.00
0.9× median
D9610Top 25%

$113K

2,231 claims · 0.8%

Your Cost: $50.70/claim|Median: $28.44
1.8× median
D1110Top 10%

Prophylaxis, adult cleaning

$79K

983 claims · 0.6%

Your Cost: $80.05/claim|Median: $43.38
1.8× median
D0120Top 25%

Periodic oral evaluation, established patient

$76K

1,703 claims · 0.6%

Your Cost: $44.81/claim|Median: $24.34
1.8× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$55K

847 claims · 0.4%

Your Cost: $64.85/claim|Median: $66.00
1.0× median
D3347Normal range

$53K

144 claims · 0.4%

Your Cost: $365.40/claim|Median: $365.40
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$47K

3,958 claims · 0.3%

Your Cost: $11.89/claim|Median: $10.51
1.1× median
D0272Normal range

Bitewings, two radiographic images

$32K

2,787 claims · 0.2%

Your Cost: $11.41/claim|Median: $15.81
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$31K

2,677 claims · 0.2%

Your Cost: $11.42/claim|Median: $14.36
0.8× median
D4910Normal range

$27K

371 claims · 0.2%

Your Cost: $73.17/claim|Median: $75.56
1.0× median
D1120Normal range

Prophylaxis, adult

$27K

881 claims · 0.2%

Your Cost: $30.26/claim|Median: $33.86
0.9× median
D7220Normal range

$26K

179 claims · 0.2%

Your Cost: $142.77/claim|Median: $138.00
1.0× median
D3346Top 1%

$22K

72 claims · 0.2%

Your Cost: $302.40/claim|Median: $301.84
1.0× median
D0274Normal range

Bitewings, four radiographic images

$17K

788 claims · 0.1%

Your Cost: $21.55/claim|Median: $22.54
1.0× median
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