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Provider 1033356670

NPI: 1033356670Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.5M

$13,545,923

Total Claims

347K

Beneficiaries

307K

1.1 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+4%
2019
$1.7M
-4%
2020
$1.7M
+22%
2021
$2.0M
+12%
2022
$2.3M
-5%
2023
$2.2M
-5%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2150 (Amalgam, two surfaces, primary or permanent)) accounts for 13% of total spending.

D2150Top 5%

Amalgam, two surfaces, primary or permanent

$1.8M

16K claims · 13.4%

Your Cost: $112.05/claim|Median: $66.00
1.7× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$1.2M

12K claims · 8.9%

Your Cost: $96.47/claim|Median: $57.39
1.7× median
D1120Normal range

Prophylaxis, adult

$1.1M

33K claims · 8.2%

Your Cost: $33.30/claim|Median: $33.86
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$1.1M

45K claims · 7.8%

Your Cost: $23.41/claim|Median: $24.34
1.0× median
D1206Normal range

Topical application of fluoride varnish

$1.0M

55K claims · 7.7%

Your Cost: $19.03/claim|Median: $18.12
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$895K

7,298 claims · 6.6%

Your Cost: $122.69/claim|Median: $120.85
1.0× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$756K

31K claims · 5.6%

Your Cost: $24.15/claim|Median: $7.33
3.3× median
D1110Normal range

Prophylaxis, adult cleaning

$755K

17K claims · 5.6%

Your Cost: $45.70/claim|Median: $43.38
1.1× median
D3220Normal range

Therapeutic pulpotomy

$642K

7,681 claims · 4.7%

Your Cost: $83.64/claim|Median: $81.27
1.0× median
D2140Top 5%

Amalgam, one surface, primary or permanent

$614K

6,862 claims · 4.5%

Your Cost: $89.44/claim|Median: $52.77
1.7× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$479K

15K claims · 3.5%

Your Cost: $31.41/claim|Median: $26.24
1.2× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$434K

35K claims · 3.2%

Your Cost: $12.29/claim|Median: $10.51
1.2× median
D0272Normal range

Bitewings, two radiographic images

$421K

21K claims · 3.1%

Your Cost: $20.43/claim|Median: $15.81
1.3× median
D1351Top 25%

Sealant, per tooth

$392K

11K claims · 2.9%

Your Cost: $34.53/claim|Median: $26.10
1.3× median
D2160Top 5%

Amalgam filling, three surfaces

$289K

2,182 claims · 2.1%

Your Cost: $132.66/claim|Median: $78.55
1.7× median
D9420Normal range

$265K

2,358 claims · 2.0%

Your Cost: $112.45/claim|Median: $81.82
1.4× median
D0274Normal range

Bitewings, four radiographic images

$240K

8,297 claims · 1.8%

Your Cost: $28.90/claim|Median: $22.54
1.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$239K

6,126 claims · 1.8%

Your Cost: $39.04/claim|Median: $32.07
1.2× median
D2934Normal range

$186K

1,102 claims · 1.4%

Your Cost: $168.89/claim|Median: $143.67
1.2× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$181K

1,465 claims · 1.3%

Your Cost: $123.82/claim|Median: $71.00
1.7× median
D0330Top 25%

Panoramic radiographic image

$133K

2,570 claims · 1.0%

Your Cost: $51.63/claim|Median: $37.36
1.4× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$126K

3,996 claims · 0.9%

Your Cost: $31.62/claim|Median: $57.30
0.6× median
D2391Top 10%

Resin-based composite, one surface, posterior

$113K

1,164 claims · 0.8%

Your Cost: $97.19/claim|Median: $54.60
1.8× median
D0140Normal range

Limited oral evaluation, problem focused

$71K

2,096 claims · 0.5%

Your Cost: $34.06/claim|Median: $27.07
1.3× median
D2330Top 5%

Resin-based composite filling, one surface, anterior

$25K

262 claims · 0.2%

Your Cost: $96.88/claim|Median: $66.63
1.5× median
D3120Top 10%

$18K

469 claims · 0.1%

Your Cost: $37.52/claim|Median: $24.98
1.5× median
D2331Top 10%

Resin-based composite filling, two surfaces, anterior

$13K

111 claims · 0.1%

Your Cost: $119.01/claim|Median: $73.58
1.6× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$8K

62 claims · 0.1%

Your Cost: $134.04/claim|Median: $84.26
1.6× median
D7960Top 25%

$6K

26 claims · 0.0%

Your Cost: $247.46/claim|Median: $140.30
1.8× median
D1510Normal range

$2K

15 claims · 0.0%

Your Cost: $133.46/claim|Median: $147.00
0.9× median
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