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Provider 1053301291

NPI: 1053301291Share
Active Billing Period:2018-01→2024-12(61 months)

Total Paid

$12.2M

$12,223,221

Total Claims

188K

Beneficiaries

145K

1.3 claims/patient

Avg Cost/Claim

$65

Monthly Spending Trend

Yearly Spending

2018
$6K
+42%
2019
$8K
+7608%
2020
$611K
+345%
2021
$2.7M
-3%
2022
$2.6M
+30%
2023
$3.4M
-18%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2740 (Crown, porcelain/ceramic substrate)) accounts for 19% of total spending.

D2740Normal range

Crown, porcelain/ceramic substrate

$2.4M

4,996 claims · 19.2%

Your Cost: $470.54/claim|Median: $509.58
0.9× median
D1110Top 10%

Prophylaxis, adult cleaning

$1.2M

15K claims · 10.2%

Your Cost: $85.91/claim|Median: $43.38
2.0× median
D2751Normal range

Crown, porcelain fused to predominantly base metal

$1.2M

2,431 claims · 9.4%

Your Cost: $473.26/claim|Median: $476.00
1.0× median
D4341Normal range

Periodontal scaling, per quadrant

$1.0M

15K claims · 8.5%

Your Cost: $69.41/claim|Median: $70.00
1.0× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$802K

12K claims · 6.6%

Your Cost: $65.61/claim|Median: $32.07
2.0× median
D4910Normal range

$741K

9,632 claims · 6.1%

Your Cost: $76.89/claim|Median: $75.56
1.0× median
D0120Top 5%

Periodic oral evaluation, established patient

$690K

9,168 claims · 5.6%

Your Cost: $75.31/claim|Median: $24.34
3.1× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$687K

1,503 claims · 5.6%

Your Cost: $456.86/claim|Median: $463.40
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$507K

11K claims · 4.1%

Your Cost: $47.36/claim|Median: $46.33
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$468K

7,054 claims · 3.8%

Your Cost: $66.31/claim|Median: $71.00
0.9× median
D2954Normal range

$312K

3,014 claims · 2.5%

Your Cost: $103.38/claim|Median: $104.95
1.0× median
D3320Normal range

$289K

801 claims · 2.4%

Your Cost: $361.41/claim|Median: $365.40
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$272K

5,038 claims · 2.2%

Your Cost: $54.01/claim|Median: $54.60
1.0× median
D1120Top 25%

Prophylaxis, adult

$256K

5,849 claims · 2.1%

Your Cost: $43.75/claim|Median: $33.86
1.3× median
D0274Normal range

Bitewings, four radiographic images

$189K

8,924 claims · 1.5%

Your Cost: $21.16/claim|Median: $22.54
0.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$165K

13K claims · 1.4%

Your Cost: $12.86/claim|Median: $14.36
0.9× median
D4342Normal range

$157K

3,780 claims · 1.3%

Your Cost: $41.40/claim|Median: $42.00
1.0× median
D9430Normal range

$150K

4,837 claims · 1.2%

Your Cost: $31.10/claim|Median: $31.69
1.0× median
D1206Normal range

Topical application of fluoride varnish

$126K

7,508 claims · 1.0%

Your Cost: $16.83/claim|Median: $18.12
0.9× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$104K

27K claims · 0.9%

Your Cost: $3.93/claim|Median: $7.33
0.5× median
D0220Normal range

Intraoral periapical radiographic image, first film

$104K

11K claims · 0.9%

Your Cost: $9.56/claim|Median: $10.51
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$91K

1,599 claims · 0.7%

Your Cost: $56.64/claim|Median: $57.39
1.0× median
D3310Normal range

$88K

301 claims · 0.7%

Your Cost: $293.61/claim|Median: $302.40
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$80K

1,015 claims · 0.7%

Your Cost: $79.17/claim|Median: $84.26
0.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$79K

682 claims · 0.6%

Your Cost: $115.99/claim|Median: $109.42
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$30K

401 claims · 0.2%

Your Cost: $75.25/claim|Median: $66.63
1.1× median
D0350Normal range

$28K

6,122 claims · 0.2%

Your Cost: $4.65/claim|Median: $9.73
0.5× median
D3221Normal range

$8K

135 claims · 0.1%

Your Cost: $60.55/claim|Median: $63.00
1.0× median
D3348Normal range

$6K

14 claims · 0.1%

Your Cost: $455.13/claim|Median: $463.40
1.0× median
D2920Top 25%

$2K

37 claims · 0.0%

Your Cost: $42.00/claim|Median: $37.48
1.1× median
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