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Provider 1013372903

NPI: 1013372903Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$17.5M

$17,483,582

Total Claims

370K

Beneficiaries

244K

1.5 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$2.4M
+55%
2019
$3.8M
-21%
2020
$3.0M
+7%
2021
$3.2M
-25%
2022
$2.4M
-20%
2023
$1.9M
-53%
2024
$886K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 14% of total spending.

D7210Top 25%

Extraction, erupted tooth, surgical approach

$2.5M

18K claims · 14.3%

Your Cost: $140.11/claim|Median: $109.42
1.3× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.2M

19K claims · 6.7%

Your Cost: $62.01/claim|Median: $71.00
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$1.2M

17K claims · 6.7%

Your Cost: $70.68/claim|Median: $57.39
1.2× median
D0210Normal range

Intraoral, complete series of radiographic images

$1.0M

22K claims · 5.9%

Your Cost: $47.11/claim|Median: $46.33
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$863K

23K claims · 4.9%

Your Cost: $37.85/claim|Median: $43.38
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$827K

27K claims · 4.7%

Your Cost: $31.17/claim|Median: $32.07
1.0× median
D7240Normal range

Extraction, impacted tooth, complete bony

$818K

3,538 claims · 4.7%

Your Cost: $231.32/claim|Median: $231.00
1.0× median
D7250Top 25%

$759K

4,274 claims · 4.3%

Your Cost: $177.49/claim|Median: $112.26
1.6× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$621K

8,290 claims · 3.6%

Your Cost: $74.96/claim|Median: $84.26
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$609K

13K claims · 3.5%

Your Cost: $47.86/claim|Median: $54.60
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$526K

30K claims · 3.0%

Your Cost: $17.79/claim|Median: $24.34
0.7× median
D0140Normal range

Limited oral evaluation, problem focused

$519K

16K claims · 3.0%

Your Cost: $31.68/claim|Median: $27.07
1.2× median
D2335Top 25%

$511K

3,768 claims · 2.9%

Your Cost: $135.61/claim|Median: $105.06
1.3× median
D5110Normal range

$463K

1,568 claims · 2.6%

Your Cost: $295.01/claim|Median: $472.15
0.6× median
D1351Normal range

Sealant, per tooth

$452K

21K claims · 2.6%

Your Cost: $21.29/claim|Median: $26.10
0.8× median
D7230Top 25%

Extraction, impacted tooth, partial bony

$400K

1,739 claims · 2.3%

Your Cost: $229.82/claim|Median: $187.09
1.2× median
D0330Normal range

Panoramic radiographic image

$397K

11K claims · 2.3%

Your Cost: $36.51/claim|Median: $37.36
1.0× median
D0274Normal range

Bitewings, four radiographic images

$381K

14K claims · 2.2%

Your Cost: $26.67/claim|Median: $22.54
1.2× median
D2332Normal range

$367K

3,929 claims · 2.1%

Your Cost: $93.50/claim|Median: $87.21
1.1× median
D4341Normal range

Periodontal scaling, per quadrant

$359K

4,082 claims · 2.1%

Your Cost: $88.03/claim|Median: $70.00
1.3× median
D1206Normal range

Topical application of fluoride varnish

$341K

24K claims · 1.9%

Your Cost: $14.03/claim|Median: $18.12
0.8× median
D1120Normal range

Prophylaxis, adult

$331K

14K claims · 1.9%

Your Cost: $23.25/claim|Median: $33.86
0.7× median
D5120Normal range

$324K

1,121 claims · 1.9%

Your Cost: $288.59/claim|Median: $468.71
0.6× median
D4346Normal range

$267K

2,652 claims · 1.5%

Your Cost: $100.72/claim|Median: $61.42
1.6× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$259K

3,273 claims · 1.5%

Your Cost: $79.08/claim|Median: $73.58
1.1× median
D2394Normal range

$221K

2,478 claims · 1.3%

Your Cost: $89.28/claim|Median: $102.14
0.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$211K

3,089 claims · 1.2%

Your Cost: $68.32/claim|Median: $66.63
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$194K

22K claims · 1.1%

Your Cost: $8.79/claim|Median: $10.51
0.8× median
D0272Normal range

Bitewings, two radiographic images

$138K

8,195 claims · 0.8%

Your Cost: $16.81/claim|Median: $15.81
1.1× median
D4910Normal range

$121K

1,857 claims · 0.7%

Your Cost: $65.01/claim|Median: $75.56
0.9× median