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Provider 1013145366

NPI: 1013145366Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.3M

$12,292,287

Total Claims

205K

Beneficiaries

158K

1.3 claims/patient

Avg Cost/Claim

$60

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+31%
2019
$2.5M
-22%
2020
$2.0M
-13%
2021
$1.7M
-25%
2022
$1.3M
+22%
2023
$1.6M
-14%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D8670 (Periodic orthodontic treatment visit)) accounts for 14% of total spending.

D8670Normal range

Periodic orthodontic treatment visit

$1.7M

8,656 claims · 14.1%

Your Cost: $200.33/claim|Median: $185.01
1.1× median
D2392Top 1%

Resin-based composite, two surfaces, posterior

$1.1M

4,806 claims · 8.7%

Your Cost: $222.51/claim|Median: $71.00
3.1× median
D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$1.1M

4,386 claims · 8.5%

Your Cost: $239.55/claim|Median: $120.85
2.0× median
D1351Top 25%

Sealant, per tooth

$902K

21K claims · 7.3%

Your Cost: $43.42/claim|Median: $26.10
1.7× median
D0120Top 25%

Periodic oral evaluation, established patient

$853K

21K claims · 6.9%

Your Cost: $40.44/claim|Median: $24.34
1.7× median
D1120Top 5%

Prophylaxis, adult

$807K

15K claims · 6.6%

Your Cost: $52.80/claim|Median: $33.86
1.6× median
D1206Top 5%

Topical application of fluoride varnish

$753K

24K claims · 6.1%

Your Cost: $31.50/claim|Median: $18.12
1.7× median
D2391Top 1%

Resin-based composite, one surface, posterior

$641K

3,442 claims · 5.2%

Your Cost: $186.32/claim|Median: $54.60
3.4× median
D1110Top 25%

Prophylaxis, adult cleaning

$622K

8,769 claims · 5.1%

Your Cost: $70.90/claim|Median: $43.38
1.6× median
D8090Normal range

$431K

221 claims · 3.5%

Your Cost: $1,949.14/claim|Median: $2,172.52
0.9× median
D9223Top 1%

Deep sedation/general anesthesia, each additional 15 min

$426K

320 claims · 3.5%

Your Cost: $1,332.26/claim|Median: $107.14
12.4× median
D0274Top 5%

Bitewings, four radiographic images

$389K

7,686 claims · 3.2%

Your Cost: $50.62/claim|Median: $22.54
2.2× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$294K

14K claims · 2.4%

Your Cost: $20.32/claim|Median: $7.33
2.8× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$283K

1,913 claims · 2.3%

Your Cost: $147.96/claim|Median: $57.39
2.6× median
D8020Top 25%

$279K

121 claims · 2.3%

Your Cost: $2,303.70/claim|Median: $923.59
2.5× median
D0240Top 25%

$253K

9,891 claims · 2.1%

Your Cost: $25.62/claim|Median: $15.24
1.7× median
D8660Top 1%

$227K

709 claims · 1.9%

Your Cost: $320.77/claim|Median: $67.74
4.7× median
D0330Top 5%

Panoramic radiographic image

$224K

2,671 claims · 1.8%

Your Cost: $83.92/claim|Median: $37.36
2.2× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$189K

7,985 claims · 1.5%

Your Cost: $23.68/claim|Median: $10.51
2.3× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$176K

3,289 claims · 1.4%

Your Cost: $53.38/claim|Median: $32.07
1.7× median
D0210Top 5%

Intraoral, complete series of radiographic images

$166K

1,687 claims · 1.4%

Your Cost: $98.55/claim|Median: $46.33
2.1× median
D9230Top 5%

Inhalation of nitrous oxide/analgesia, anxiolysis

$101K

1,545 claims · 0.8%

Your Cost: $65.18/claim|Median: $26.24
2.5× median
D0140Top 5%

Limited oral evaluation, problem focused

$78K

1,283 claims · 0.6%

Your Cost: $60.44/claim|Median: $27.07
2.2× median
D0272Top 5%

Bitewings, two radiographic images

$76K

2,127 claims · 0.6%

Your Cost: $35.56/claim|Median: $15.81
2.2× median
D1354Top 25%

$60K

2,033 claims · 0.5%

Your Cost: $29.38/claim|Median: $12.52
2.3× median
D0160Top 5%

$52K

540 claims · 0.4%

Your Cost: $95.69/claim|Median: $34.71
2.8× median
D2393Top 1%

Resin-based composite, three surfaces, posterior

$50K

158 claims · 0.4%

Your Cost: $315.70/claim|Median: $84.26
3.7× median
D0170Top 10%

$45K

855 claims · 0.4%

Your Cost: $52.97/claim|Median: $24.39
2.2× median
D9920Top 10%

$45K

339 claims · 0.4%

Your Cost: $132.43/claim|Median: $44.88
3.0× median
D2330Top 1%

Resin-based composite filling, one surface, anterior

$7K

39 claims · 0.1%

Your Cost: $190.41/claim|Median: $66.63
2.9× median
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