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Provider 1063543577

NPI: 1063543577Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.7M

$10,674,502

Total Claims

280K

Beneficiaries

161K

1.7 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+8%
2019
$1.6M
-20%
2020
$1.2M
+8%
2021
$1.3M
+11%
2022
$1.5M
+27%
2023
$1.9M
-11%
2024
$1.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2751 (Crown, porcelain fused to predominantly base metal)) accounts for 11% of total spending.

D2751Normal range

Crown, porcelain fused to predominantly base metal

$1.2M

2,480 claims · 11.0%

Your Cost: $472.22/claim|Median: $476.00
1.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$962K

8,195 claims · 9.0%

Your Cost: $117.38/claim|Median: $109.42
1.1× median
D0120Top 10%

Periodic oral evaluation, established patient

$851K

16K claims · 8.0%

Your Cost: $52.94/claim|Median: $24.34
2.2× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$841K

1,833 claims · 7.9%

Your Cost: $458.74/claim|Median: $463.40
1.0× median
D1110Top 10%

Prophylaxis, adult cleaning

$737K

8,813 claims · 6.9%

Your Cost: $83.67/claim|Median: $43.38
1.9× median
D1351Normal range

Sealant, per tooth

$663K

24K claims · 6.2%

Your Cost: $28.03/claim|Median: $26.10
1.1× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$632K

10K claims · 5.9%

Your Cost: $62.74/claim|Median: $32.07
2.0× median
D1120Normal range

Prophylaxis, adult

$571K

16K claims · 5.4%

Your Cost: $36.63/claim|Median: $33.86
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$406K

101K claims · 3.8%

Your Cost: $4.00/claim|Median: $7.33
0.5× median
D4341Normal range

Periodontal scaling, per quadrant

$405K

6,040 claims · 3.8%

Your Cost: $67.01/claim|Median: $70.00
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$315K

6,775 claims · 3.0%

Your Cost: $46.57/claim|Median: $46.33
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$313K

24K claims · 2.9%

Your Cost: $12.83/claim|Median: $14.36
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$303K

5,367 claims · 2.8%

Your Cost: $56.52/claim|Median: $57.39
1.0× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$279K

4,208 claims · 2.6%

Your Cost: $66.41/claim|Median: $66.00
1.0× median
D7240Normal range

Extraction, impacted tooth, complete bony

$277K

1,209 claims · 2.6%

Your Cost: $229.48/claim|Median: $231.00
1.0× median
D3320Normal range

$265K

733 claims · 2.5%

Your Cost: $361.94/claim|Median: $365.40
1.0× median
D0274Normal range

Bitewings, four radiographic images

$232K

11K claims · 2.2%

Your Cost: $20.71/claim|Median: $22.54
0.9× median
D4910Normal range

$221K

2,888 claims · 2.1%

Your Cost: $76.48/claim|Median: $75.56
1.0× median
D2954Normal range

$193K

1,852 claims · 1.8%

Your Cost: $104.19/claim|Median: $104.95
1.0× median
D2160Normal range

Amalgam filling, three surfaces

$159K

2,019 claims · 1.5%

Your Cost: $78.83/claim|Median: $78.55
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$114K

2,910 claims · 1.1%

Your Cost: $39.28/claim|Median: $26.24
1.5× median
D1310Top 10%

Nutritional counseling for control of dental disease

$106K

2,319 claims · 1.0%

Your Cost: $45.88/claim|Median: $40.52
1.1× median
D9993Normal range

$97K

1,531 claims · 0.9%

Your Cost: $63.58/claim|Median: $62.07
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$81K

6,940 claims · 0.8%

Your Cost: $11.70/claim|Median: $10.51
1.1× median
D9430Normal range

$61K

1,929 claims · 0.6%

Your Cost: $31.46/claim|Median: $31.69
1.0× median
D4342Normal range

$61K

1,537 claims · 0.6%

Your Cost: $39.41/claim|Median: $42.00
0.9× median
D4260Top 25%

$56K

114 claims · 0.5%

Your Cost: $490.00/claim|Median: $490.00
1.0× median
D0272Normal range

Bitewings, two radiographic images

$37K

3,222 claims · 0.3%

Your Cost: $11.58/claim|Median: $15.81
0.7× median
D3310Normal range

$31K

102 claims · 0.3%

Your Cost: $302.40/claim|Median: $302.40
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$28K

457 claims · 0.3%

Your Cost: $61.36/claim|Median: $71.00
0.9× median
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