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VITAL SMILES ALABAMA II PC

Dentist·ORANGE, CA·NPI: 1013474535Share
Active Billing Period:2019-05→2024-12(67 months)

Total Paid

$29.1M

$29,071,408

Total Claims

1.2M

Beneficiaries

1.0M

1.2 claims/patient

Avg Cost/Claim

$24

Monthly Spending Trend

Yearly Spending

2019
$3.6M
+28%
2020
$4.6M
+39%
2021
$6.4M
-9%
2022
$5.8M
-17%
2023
$4.8M
-22%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 37 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 13% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$3.8M

41K claims · 13.1%

Your Cost: $93.23/claim|Median: $120.85
0.8× median
D1120Normal range

Prophylaxis, adult

$3.5M

140K claims · 11.9%

Your Cost: $24.77/claim|Median: $33.86
0.7× median
D0120Normal range

Periodic oral evaluation, established patient

$3.4M

204K claims · 11.7%

Your Cost: $16.60/claim|Median: $24.34
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$2.8M

220K claims · 9.7%

Your Cost: $12.80/claim|Median: $14.36
0.9× median
D1999Top 25%

$2.7M

158K claims · 9.3%

Your Cost: $17.10/claim|Median: $11.95
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$2.2M

70K claims · 7.7%

Your Cost: $32.13/claim|Median: $43.38
0.7× median
D0330Normal range

Panoramic radiographic image

$2.0M

49K claims · 6.9%

Your Cost: $40.94/claim|Median: $37.36
1.1× median
D0272Normal range

Bitewings, two radiographic images

$1.3M

85K claims · 4.3%

Your Cost: $14.92/claim|Median: $15.81
0.9× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$1.1M

20K claims · 3.6%

Your Cost: $53.53/claim|Median: $66.00
0.8× median
D0274Normal range

Bitewings, four radiographic images

$873K

45K claims · 3.0%

Your Cost: $19.58/claim|Median: $22.54
0.9× median
D1351Normal range

Sealant, per tooth

$729K

35K claims · 2.5%

Your Cost: $20.57/claim|Median: $26.10
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$625K

13K claims · 2.1%

Your Cost: $47.51/claim|Median: $57.39
0.8× median
D2140Normal range

Amalgam, one surface, primary or permanent

$604K

15K claims · 2.1%

Your Cost: $40.59/claim|Median: $52.77
0.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$556K

8,782 claims · 1.9%

Your Cost: $63.35/claim|Median: $71.00
0.9× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$505K

1,041 claims · 1.7%

Your Cost: $485.01/claim|Median: $463.40
1.0× median
D3220Normal range

Therapeutic pulpotomy

$503K

7,242 claims · 1.7%

Your Cost: $69.47/claim|Median: $81.27
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$280K

30K claims · 1.0%

Your Cost: $9.46/claim|Median: $10.51
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$272K

13K claims · 0.9%

Your Cost: $21.22/claim|Median: $32.07
0.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$267K

5,145 claims · 0.9%

Your Cost: $51.82/claim|Median: $54.60
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$222K

2,981 claims · 0.8%

Your Cost: $74.38/claim|Median: $84.26
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$202K

8,373 claims · 0.7%

Your Cost: $24.11/claim|Median: $27.07
0.9× median
D2160Normal range

Amalgam filling, three surfaces

$167K

2,597 claims · 0.6%

Your Cost: $64.48/claim|Median: $78.55
0.8× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$131K

6,939 claims · 0.5%

Your Cost: $18.90/claim|Median: $26.24
0.7× median
D1206Normal range

Topical application of fluoride varnish

$111K

6,761 claims · 0.4%

Your Cost: $16.35/claim|Median: $18.12
0.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$91K

4,735 claims · 0.3%

Your Cost: $19.24/claim|Median: $57.30
0.3× median
D2950Normal range

$52K

607 claims · 0.2%

Your Cost: $85.87/claim|Median: $123.37
0.7× median
D3120Normal range

$36K

2,197 claims · 0.1%

Your Cost: $16.22/claim|Median: $24.98
0.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$28K

4,358 claims · 0.1%

Your Cost: $6.45/claim|Median: $7.33
0.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$16K

559 claims · 0.1%

Your Cost: $29.40/claim|Median: $66.63
0.4× median
D2740Normal range

Crown, porcelain/ceramic substrate

$12K

61 claims · 0.0%

Your Cost: $196.82/claim|Median: $509.58
0.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$8K

352 claims · 0.0%

Your Cost: $23.59/claim|Median: $46.33
0.5× median
D1354Normal range

$8K

377 claims · 0.0%

Your Cost: $21.73/claim|Median: $12.52
1.7× median
D7240Normal range

Extraction, impacted tooth, complete bony

$4K

88 claims · 0.0%

Your Cost: $48.06/claim|Median: $231.00
0.2× median
D2335Normal range

$3K

85 claims · 0.0%

Your Cost: $30.32/claim|Median: $105.06
0.3× median
D2920Normal range

$516

51 claims · 0.0%

Your Cost: $10.12/claim|Median: $37.48
0.3× median
D2332Normal range

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $87.21
D0601Normal range

$0

73 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.50

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