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Provider 1023216546

NPI: 1023216546Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$9.2M

$9,189,718

Total Claims

175K

Beneficiaries

132K

1.3 claims/patient

Avg Cost/Claim

$52

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-0%
2019
$1.2M
-25%
2020
$916K
+18%
2021
$1.1M
+13%
2022
$1.2M
+33%
2023
$1.6M
+17%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 26 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 25% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.3M

16K claims · 24.7%

Your Cost: $138.29/claim|Median: $120.85
1.1× median
D3220Normal range

Therapeutic pulpotomy

$831K

8,592 claims · 9.0%

Your Cost: $96.68/claim|Median: $81.27
1.2× median
D2390Top 25%

$654K

3,000 claims · 7.1%

Your Cost: $218.04/claim|Median: $170.27
1.3× median
D1120Normal range

Prophylaxis, adult

$572K

16K claims · 6.2%

Your Cost: $35.32/claim|Median: $33.86
1.0× median
D9248Top 25%

$558K

4,681 claims · 6.1%

Your Cost: $119.20/claim|Median: $92.49
1.3× median
D2391Normal range

Resin-based composite, one surface, posterior

$516K

7,366 claims · 5.6%

Your Cost: $70.09/claim|Median: $54.60
1.3× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$478K

5,391 claims · 5.2%

Your Cost: $88.58/claim|Median: $71.00
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$428K

16K claims · 4.7%

Your Cost: $27.34/claim|Median: $24.34
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$402K

5,857 claims · 4.4%

Your Cost: $68.65/claim|Median: $57.39
1.2× median
D0272Normal range

Bitewings, two radiographic images

$264K

16K claims · 2.9%

Your Cost: $16.09/claim|Median: $15.81
1.0× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$254K

13K claims · 2.8%

Your Cost: $19.76/claim|Median: $14.36
1.4× median
D0350Top 25%

$234K

10K claims · 2.6%

Your Cost: $22.73/claim|Median: $9.73
2.3× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$228K

4,752 claims · 2.5%

Your Cost: $48.07/claim|Median: $32.07
1.5× median
D1351Normal range

Sealant, per tooth

$210K

7,305 claims · 2.3%

Your Cost: $28.78/claim|Median: $26.10
1.1× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$195K

13K claims · 2.1%

Your Cost: $15.18/claim|Median: $10.51
1.4× median
D1110Normal range

Prophylaxis, adult cleaning

$167K

3,503 claims · 1.8%

Your Cost: $47.57/claim|Median: $43.38
1.1× median
D0330Top 25%

Panoramic radiographic image

$163K

2,794 claims · 1.8%

Your Cost: $58.23/claim|Median: $37.36
1.6× median
D1206Top 25%

Topical application of fluoride varnish

$162K

6,436 claims · 1.8%

Your Cost: $25.20/claim|Median: $18.12
1.4× median
D9920Normal range

$150K

2,713 claims · 1.6%

Your Cost: $55.34/claim|Median: $44.88
1.2× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$116K

2,407 claims · 1.3%

Your Cost: $48.11/claim|Median: $57.30
0.8× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$109K

3,133 claims · 1.2%

Your Cost: $34.94/claim|Median: $26.24
1.3× median
D0210Top 25%

Intraoral, complete series of radiographic images

$89K

1,452 claims · 1.0%

Your Cost: $61.36/claim|Median: $46.33
1.3× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$59K

769 claims · 0.6%

Your Cost: $77.04/claim|Median: $66.63
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$41K

2,954 claims · 0.4%

Your Cost: $13.92/claim|Median: $27.07
0.5× median
D7111Top 25%

$22K

335 claims · 0.2%

Your Cost: $64.88/claim|Median: $49.49
1.3× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$14K

1,138 claims · 0.2%

Your Cost: $12.61/claim|Median: $7.33
1.7× median
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