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Provider 1033218565

NPI: 1033218565Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$15.3M

$15,264,396

Total Claims

120K

Beneficiaries

101K

1.2 claims/patient

Avg Cost/Claim

$127

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+17%
2019
$1.6M
+12%
2020
$1.8M
+37%
2021
$2.5M
+22%
2022
$3.0M
-8%
2023
$2.8M
-18%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 45% of total spending.

99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$6.9M

33K claims · 45.2%

Your Cost: $209.16/claim|Median: $37.81
5.5× median
99214Top 5%

Office/outpatient visit, est. patient, mod-high complexity

$1.2M

6,842 claims · 7.9%

Your Cost: $175.50/claim|Median: $53.41
3.3× median
S0311Normal range

$856K

3,812 claims · 5.6%

Your Cost: $224.66/claim|Median: $221.54
1.0× median
99393Top 1%

Preventive medicine, established patient, age 5-11

$602K

2,293 claims · 3.9%

Your Cost: $262.47/claim|Median: $74.82
3.5× median
99394Top 1%

Preventive medicine, established patient, age 12-17

$577K

2,237 claims · 3.8%

Your Cost: $258.13/claim|Median: $80.15
3.2× median
99212Top 1%

Office/outpatient visit, low complexity

$557K

2,398 claims · 3.6%

Your Cost: $232.30/claim|Median: $25.06
9.3× median
D0210Top 1%

Intraoral, complete series of radiographic images

$427K

2,316 claims · 2.8%

Your Cost: $184.44/claim|Median: $46.33
4.0× median
99392Top 1%

Preventive medicine, established patient, age 1-4

$407K

1,556 claims · 2.7%

Your Cost: $261.43/claim|Median: $75.18
3.5× median
S0281Top 10%

$399K

1,582 claims · 2.6%

Your Cost: $252.16/claim|Median: $92.97
2.7× median
D1110Top 1%

Prophylaxis, adult cleaning

$368K

2,126 claims · 2.4%

Your Cost: $173.04/claim|Median: $43.38
4.0× median
99203Top 5%

Office/outpatient visit, new patient, low-mod complexity

$336K

1,580 claims · 2.2%

Your Cost: $212.90/claim|Median: $57.85
3.7× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$306K

3,472 claims · 2.0%

Your Cost: $88.17/claim|Median: $57.39
1.5× median
D0140Top 1%

Limited oral evaluation, problem focused

$250K

1,518 claims · 1.6%

Your Cost: $164.62/claim|Median: $27.07
6.1× median
D1206Top 1%

Topical application of fluoride varnish

$224K

2,667 claims · 1.5%

Your Cost: $83.93/claim|Median: $18.12
4.6× median
90832Top 10%

Psychotherapy, 30 minutes

$208K

1,741 claims · 1.4%

Your Cost: $119.61/claim|Median: $41.28
2.9× median
99391Top 1%

Preventive medicine, established patient, infant (under 1)

$206K

772 claims · 1.3%

Your Cost: $266.34/claim|Median: $69.35
3.8× median
99202Top 5%

Office/outpatient visit, new patient, low complexity

$178K

832 claims · 1.2%

Your Cost: $214.30/claim|Median: $40.11
5.3× median
D0330Top 1%

Panoramic radiographic image

$171K

958 claims · 1.1%

Your Cost: $178.47/claim|Median: $37.36
4.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$154K

3,503 claims · 1.0%

Your Cost: $43.92/claim|Median: $32.07
1.4× median
90837Top 5%

Psychotherapy, 60 minutes

$128K

746 claims · 0.8%

Your Cost: $171.83/claim|Median: $85.66
2.0× median
D0120Top 5%

Periodic oral evaluation, established patient

$128K

1,653 claims · 0.8%

Your Cost: $77.18/claim|Median: $24.34
3.2× median
96127Top 1%

Brief emotional/behavioral assessment, per standardized instrument

$91K

1,381 claims · 0.6%

Your Cost: $66.07/claim|Median: $3.67
18.0× median
D0274Top 1%

Bitewings, four radiographic images

$80K

1,110 claims · 0.5%

Your Cost: $71.73/claim|Median: $22.54
3.2× median
D1120Top 1%

Prophylaxis, adult

$65K

705 claims · 0.4%

Your Cost: $92.00/claim|Median: $33.86
2.7× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$63K

542 claims · 0.4%

Your Cost: $116.90/claim|Median: $71.00
1.6× median
G9148Normal range

$57K

678 claims · 0.4%

Your Cost: $83.90/claim|Median: $281.00
0.3× median
D2391Top 5%

Resin-based composite, one surface, posterior

$38K

329 claims · 0.2%

Your Cost: $114.61/claim|Median: $54.60
2.1× median
96372Top 5%

Therapeutic injection, subcutaneous/intramuscular

$37K

593 claims · 0.2%

Your Cost: $63.20/claim|Median: $9.56
6.6× median
S0221Normal range

$30K

413 claims · 0.2%

Your Cost: $73.18/claim|Median: $86.82
0.8× median
99406Top 10%

$26K

1,788 claims · 0.2%

Your Cost: $14.48/claim|Median: $6.53
2.2× median
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