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Provider 1013219633

NPI: 1013219633Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$13.0M

$12,963,970

Total Claims

461K

Beneficiaries

423K

1.1 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+13%
2019
$1.2M
-9%
2020
$1.1M
+70%
2021
$1.9M
+22%
2022
$2.3M
+4%
2023
$2.4M
+24%
2024
$3.0M

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.

D1120Normal range

Prophylaxis, adult

$2.5M

81K claims · 19.2%

Your Cost: $30.76/claim|Median: $33.86
0.9× median
D1206Top 25%

Topical application of fluoride varnish

$2.3M

83K claims · 17.6%

Your Cost: $27.34/claim|Median: $18.12
1.5× median
D0120Normal range

Periodic oral evaluation, established patient

$1.9M

71K claims · 14.4%

Your Cost: $26.16/claim|Median: $24.34
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.2M

13K claims · 8.9%

Your Cost: $86.22/claim|Median: $71.00
1.2× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$938K

7,126 claims · 7.2%

Your Cost: $131.56/claim|Median: $120.85
1.1× median
D1351Normal range

Sealant, per tooth

$726K

25K claims · 5.6%

Your Cost: $28.86/claim|Median: $26.10
1.1× median
D0272Normal range

Bitewings, two radiographic images

$630K

44K claims · 4.9%

Your Cost: $14.39/claim|Median: $15.81
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$490K

15K claims · 3.8%

Your Cost: $32.81/claim|Median: $26.24
1.3× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$486K

11K claims · 3.7%

Your Cost: $44.74/claim|Median: $57.30
0.8× median
D1999Normal range

$429K

44K claims · 3.3%

Your Cost: $9.82/claim|Median: $11.95
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$273K

7,100 claims · 2.1%

Your Cost: $38.47/claim|Median: $43.38
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$241K

3,445 claims · 1.9%

Your Cost: $70.04/claim|Median: $54.60
1.3× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$212K

2,892 claims · 1.6%

Your Cost: $73.21/claim|Median: $57.39
1.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$141K

5,555 claims · 1.1%

Your Cost: $25.33/claim|Median: $32.07
0.8× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$106K

5,485 claims · 0.8%

Your Cost: $19.33/claim|Median: $14.36
1.3× median
D0274Normal range

Bitewings, four radiographic images

$102K

4,596 claims · 0.8%

Your Cost: $22.16/claim|Median: $22.54
1.0× median
D0330Normal range

Panoramic radiographic image

$99K

4,800 claims · 0.8%

Your Cost: $20.55/claim|Median: $37.36
0.6× median
D0220Normal range

Intraoral periapical radiographic image, first film

$93K

13K claims · 0.7%

Your Cost: $6.87/claim|Median: $10.51
0.7× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$64K

11K claims · 0.5%

Your Cost: $5.63/claim|Median: $7.33
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$64K

1,271 claims · 0.5%

Your Cost: $50.28/claim|Median: $46.33
1.1× median
D0270Top 25%

$55K

5,514 claims · 0.4%

Your Cost: $10.02/claim|Median: $5.46
1.8× median
D9420Normal range

$13K

126 claims · 0.1%

Your Cost: $103.85/claim|Median: $81.82
1.3× median
D1354Normal range

$11K

821 claims · 0.1%

Your Cost: $13.06/claim|Median: $12.52
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$4K

75 claims · 0.0%

Your Cost: $55.21/claim|Median: $66.63
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$4K

164 claims · 0.0%

Your Cost: $23.61/claim|Median: $27.07
0.9× median
D3220Top 25%

Therapeutic pulpotomy

$4K

36 claims · 0.0%

Your Cost: $101.97/claim|Median: $81.27
1.3× median
D9970Normal range

$2K

399 claims · 0.0%

Your Cost: $5.31/claim|Median: $10.53
0.5× median
D0273Top 25%

$994

36 claims · 0.0%

Your Cost: $27.60/claim|Median: $17.25
1.6× median
D0170Normal range

$0

33 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.39
D9997Normal range

$0

37 claims · 0.0%

Your Cost: $0.00/claim|Median: $33.57
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