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Provider 1013257690

NPI: 1013257690Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.4M

$11,370,521

Total Claims

161K

Beneficiaries

120K

1.3 claims/patient

Avg Cost/Claim

$71

Monthly Spending Trend

Yearly Spending

2018
$1.9M
-20%
2019
$1.6M
-12%
2020
$1.4M
+24%
2021
$1.7M
-2%
2022
$1.7M
+20%
2023
$2.0M
-44%
2024
$1.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 24% of total spending.

D2392Top 5%

Resin-based composite, two surfaces, posterior

$2.7M

17K claims · 23.6%

Your Cost: $155.95/claim|Median: $71.00
2.2× median
D0330Top 5%

Panoramic radiographic image

$1.4M

16K claims · 12.3%

Your Cost: $86.91/claim|Median: $37.36
2.3× median
D1110Top 10%

Prophylaxis, adult cleaning

$1.1M

14K claims · 9.4%

Your Cost: $76.62/claim|Median: $43.38
1.8× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$979K

17K claims · 8.6%

Your Cost: $58.49/claim|Median: $32.07
1.8× median
D2391Top 5%

Resin-based composite, one surface, posterior

$915K

7,341 claims · 8.0%

Your Cost: $124.62/claim|Median: $54.60
2.3× median
D0274Top 1%

Bitewings, four radiographic images

$906K

17K claims · 8.0%

Your Cost: $52.33/claim|Median: $22.54
2.3× median
D1351Top 25%

Sealant, per tooth

$797K

18K claims · 7.0%

Your Cost: $44.88/claim|Median: $26.10
1.7× median
D1208Top 5%

Topical application of fluoride, excluding varnish

$525K

20K claims · 4.6%

Your Cost: $26.38/claim|Median: $14.36
1.8× median
D0120Top 25%

Periodic oral evaluation, established patient

$514K

12K claims · 4.5%

Your Cost: $41.92/claim|Median: $24.34
1.7× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$420K

3,475 claims · 3.7%

Your Cost: $120.85/claim|Median: $57.39
2.1× median
D1120Top 5%

Prophylaxis, adult

$258K

4,316 claims · 2.3%

Your Cost: $59.77/claim|Median: $33.86
1.8× median
D9230Top 10%

Inhalation of nitrous oxide/analgesia, anxiolysis

$219K

4,270 claims · 1.9%

Your Cost: $51.23/claim|Median: $26.24
2.0× median
D2393Top 5%

Resin-based composite, three surfaces, posterior

$170K

896 claims · 1.5%

Your Cost: $189.33/claim|Median: $84.26
2.2× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$150K

6,694 claims · 1.3%

Your Cost: $22.36/claim|Median: $10.51
2.1× median
D2740Normal range

Crown, porcelain/ceramic substrate

$95K

157 claims · 0.8%

Your Cost: $607.62/claim|Median: $509.58
1.2× median
D7210Top 5%

Extraction, erupted tooth, surgical approach

$90K

410 claims · 0.8%

Your Cost: $218.77/claim|Median: $109.42
2.0× median
D2950Top 10%

$71K

416 claims · 0.6%

Your Cost: $170.07/claim|Median: $123.37
1.4× median
D2930Top 10%

Prefabricated stainless steel crown, primary tooth

$26K

142 claims · 0.2%

Your Cost: $182.81/claim|Median: $120.85
1.5× median
D2331Top 5%

Resin-based composite filling, two surfaces, anterior

$23K

166 claims · 0.2%

Your Cost: $135.75/claim|Median: $73.58
1.8× median
D0140Top 5%

Limited oral evaluation, problem focused

$22K

387 claims · 0.2%

Your Cost: $57.92/claim|Median: $27.07
2.1× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$14K

673 claims · 0.1%

Your Cost: $20.15/claim|Median: $7.33
2.7× median
D2752Top 10%

$10K

16 claims · 0.1%

Your Cost: $597.54/claim|Median: $423.42
1.4× median
D9243Top 25%

$8K

52 claims · 0.1%

Your Cost: $157.62/claim|Median: $81.52
1.9× median
D0272Top 1%

Bitewings, two radiographic images

$6K

155 claims · 0.1%

Your Cost: $37.46/claim|Median: $15.81
2.4× median
D1206Top 25%

Topical application of fluoride varnish

$5K

169 claims · 0.0%

Your Cost: $27.36/claim|Median: $18.12
1.5× median
D2335Top 5%

$3K

16 claims · 0.0%

Your Cost: $217.13/claim|Median: $105.06
2.1× median
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