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Provider 1023088473

NPI: 1023088473Share
Active Billing Period:2018-01→2024-12(79 months)

Total Paid

$14.8M

$14,806,824

Total Claims

52K

Beneficiaries

31K

1.7 claims/patient

Avg Cost/Claim

$283

Monthly Spending Trend

Yearly Spending

2018
$3K
+15948%
2019
$437K
+287%
2020
$1.7M
+26%
2021
$2.1M
+33%
2022
$2.8M
+40%
2023
$4.0M
-6%
2024
$3.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 31% of total spending.

D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$4.6M

11K claims · 30.8%

Your Cost: $413.75/claim|Median: $120.85
3.4× median
D9420Top 5%

$3.8M

8,028 claims · 25.5%

Your Cost: $470.76/claim|Median: $81.82
5.8× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$1.5M

6,762 claims · 10.3%

Your Cost: $226.24/claim|Median: $57.39
3.9× median
D2335Top 1%

$1.1M

3,277 claims · 7.7%

Your Cost: $345.87/claim|Median: $105.06
3.3× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$574K

1,927 claims · 3.9%

Your Cost: $297.81/claim|Median: $10.51
28.3× median
D7210Top 1%

Extraction, erupted tooth, surgical approach

$572K

1,828 claims · 3.9%

Your Cost: $312.93/claim|Median: $109.42
2.9× median
00170Top 10%

Anesthesia for intraoral procedures

$433K

1,242 claims · 2.9%

Your Cost: $348.70/claim|Median: $132.89
2.6× median
D7310Top 1%

$425K

1,105 claims · 2.9%

Your Cost: $384.88/claim|Median: $100.96
3.8× median
D0272Top 1%

Bitewings, two radiographic images

$424K

4,588 claims · 2.9%

Your Cost: $92.48/claim|Median: $15.81
5.8× median
D2391Top 1%

Resin-based composite, one surface, posterior

$389K

2,232 claims · 2.6%

Your Cost: $174.48/claim|Median: $54.60
3.2× median
45380Normal range

Colonoscopy with biopsy

$188K

632 claims · 1.3%

Your Cost: $297.74/claim|Median: $200.68
1.5× median
D3220Normal range

Therapeutic pulpotomy

$184K

2,946 claims · 1.2%

Your Cost: $62.43/claim|Median: $81.27
0.8× median
D1351Top 1%

Sealant, per tooth

$151K

1,452 claims · 1.0%

Your Cost: $103.66/claim|Median: $26.10
4.0× median
43239Normal range

Upper GI endoscopy with biopsy

$140K

1,188 claims · 0.9%

Your Cost: $117.71/claim|Median: $151.68
0.8× median
D2392Top 1%

Resin-based composite, two surfaces, posterior

$110K

525 claims · 0.7%

Your Cost: $209.45/claim|Median: $71.00
3.0× median
D1510Normal range

$102K

1,548 claims · 0.7%

Your Cost: $65.88/claim|Median: $147.00
0.4× median
D7230Top 1%

Extraction, impacted tooth, partial bony

$35K

53 claims · 0.2%

Your Cost: $651.51/claim|Median: $187.09
3.5× median
D2330Top 10%

Resin-based composite filling, one surface, anterior

$30K

333 claims · 0.2%

Your Cost: $90.07/claim|Median: $66.63
1.4× median
D7311Top 1%

$19K

56 claims · 0.1%

Your Cost: $345.62/claim|Median: $91.31
3.8× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$14K

1,226 claims · 0.1%

Your Cost: $11.49/claim|Median: $7.33
1.6× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$11K

13 claims · 0.1%

Your Cost: $814.17/claim|Median: $331.68
2.5× median
69436Normal range

Tympanostomy, general anesthesia

$5K

30 claims · 0.0%

Your Cost: $177.70/claim|Median: $205.50
0.9× median
45385Normal range

Colonoscopy with polyp removal, snare technique

$4K

14 claims · 0.0%

Your Cost: $307.51/claim|Median: $255.17
1.2× median
G8918Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.03
G8907Normal range

$0

281 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.38
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