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Provider 1043567357

NPI: 1043567357Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$9.9M

$9,878,897

Total Claims

174K

Beneficiaries

142K

1.2 claims/patient

Avg Cost/Claim

$57

Monthly Spending Trend

Yearly Spending

2018
$424K
+459%
2019
$2.4M
-53%
2020
$1.1M
+32%
2021
$1.5M
-0%
2022
$1.5M
+4%
2023
$1.5M
+2%
2024
$1.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7140 (Extraction, erupted tooth or exposed root)) accounts for 17% of total spending.

D7140Top 25%

Extraction, erupted tooth or exposed root

$1.7M

20K claims · 17.5%

Your Cost: $85.72/claim|Median: $57.39
1.5× median
D5110Top 5%

$892K

1,048 claims · 9.0%

Your Cost: $850.98/claim|Median: $472.15
1.8× median
D0330Top 10%

Panoramic radiographic image

$714K

11K claims · 7.2%

Your Cost: $66.62/claim|Median: $37.36
1.8× median
D1110Normal range

Prophylaxis, adult cleaning

$644K

13K claims · 6.5%

Your Cost: $48.58/claim|Median: $43.38
1.1× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$641K

5,327 claims · 6.5%

Your Cost: $120.36/claim|Median: $109.42
1.1× median
D2150Top 25%

Amalgam, two surfaces, primary or permanent

$492K

6,404 claims · 5.0%

Your Cost: $76.87/claim|Median: $66.00
1.2× median
D0274Top 10%

Bitewings, four radiographic images

$490K

14K claims · 5.0%

Your Cost: $35.45/claim|Median: $22.54
1.6× median
D5120Top 10%

$469K

582 claims · 4.8%

Your Cost: $806.67/claim|Median: $468.71
1.7× median
D0120Top 25%

Periodic oral evaluation, established patient

$442K

15K claims · 4.5%

Your Cost: $29.06/claim|Median: $24.34
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$440K

13K claims · 4.5%

Your Cost: $33.24/claim|Median: $27.07
1.2× median
D1206Normal range

Topical application of fluoride varnish

$400K

17K claims · 4.0%

Your Cost: $23.93/claim|Median: $18.12
1.3× median
D2160Top 25%

Amalgam filling, three surfaces

$261K

2,779 claims · 2.6%

Your Cost: $94.00/claim|Median: $78.55
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$259K

3,083 claims · 2.6%

Your Cost: $83.98/claim|Median: $71.00
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$252K

7,046 claims · 2.6%

Your Cost: $35.78/claim|Median: $32.07
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$240K

3,569 claims · 2.4%

Your Cost: $67.21/claim|Median: $54.60
1.2× median
D2140Top 25%

Amalgam, one surface, primary or permanent

$231K

3,780 claims · 2.3%

Your Cost: $60.98/claim|Median: $52.77
1.2× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$165K

12K claims · 1.7%

Your Cost: $13.34/claim|Median: $10.51
1.3× median
D1120Normal range

Prophylaxis, adult

$154K

4,662 claims · 1.6%

Your Cost: $33.05/claim|Median: $33.86
1.0× median
D2331Top 25%

Resin-based composite filling, two surfaces, anterior

$149K

1,612 claims · 1.5%

Your Cost: $92.61/claim|Median: $73.58
1.3× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$142K

1,981 claims · 1.4%

Your Cost: $71.63/claim|Median: $66.63
1.1× median
D2335Normal range

$135K

1,464 claims · 1.4%

Your Cost: $92.01/claim|Median: $105.06
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$125K

1,315 claims · 1.3%

Your Cost: $94.77/claim|Median: $84.26
1.1× median
D2332Normal range

$109K

1,144 claims · 1.1%

Your Cost: $94.87/claim|Median: $87.21
1.1× median
D1351Normal range

Sealant, per tooth

$108K

4,291 claims · 1.1%

Your Cost: $25.11/claim|Median: $26.10
1.0× median
D0272Top 10%

Bitewings, two radiographic images

$63K

2,403 claims · 0.6%

Your Cost: $26.29/claim|Median: $15.81
1.7× median
D2161Top 10%

$30K

230 claims · 0.3%

Your Cost: $130.95/claim|Median: $81.37
1.6× median
D1330Top 25%

$29K

2,488 claims · 0.3%

Your Cost: $11.52/claim|Median: $5.73
2.0× median
D2394Normal range

$28K

349 claims · 0.3%

Your Cost: $78.99/claim|Median: $102.14
0.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$19K

2,201 claims · 0.2%

Your Cost: $8.64/claim|Median: $7.33
1.2× median
D5212Normal range

$14K

25 claims · 0.1%

Your Cost: $543.06/claim|Median: $402.44
1.3× median
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