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Provider 1063600898

NPI: 1063600898Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.8M

$11,773,089

Total Claims

270K

Beneficiaries

175K

1.5 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+33%
2019
$1.3M
-7%
2020
$1.2M
+43%
2021
$1.8M
+21%
2022
$2.2M
+7%
2023
$2.3M
-15%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7210 (Extraction, erupted tooth, surgical approach)) accounts for 19% of total spending.

D7210Normal range

Extraction, erupted tooth, surgical approach

$2.2M

19K claims · 18.8%

Your Cost: $117.25/claim|Median: $109.42
1.1× median
D9430Normal range

$856K

27K claims · 7.3%

Your Cost: $31.56/claim|Median: $31.69
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$677K

10K claims · 5.7%

Your Cost: $65.70/claim|Median: $71.00
0.9× median
D1110Top 10%

Prophylaxis, adult cleaning

$654K

7,727 claims · 5.6%

Your Cost: $84.64/claim|Median: $43.38
2.0× median
D2740Normal range

Crown, porcelain/ceramic substrate

$646K

1,372 claims · 5.5%

Your Cost: $471.15/claim|Median: $509.58
0.9× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$590K

1,280 claims · 5.0%

Your Cost: $461.29/claim|Median: $463.40
1.0× median
D7240Normal range

Extraction, impacted tooth, complete bony

$572K

2,495 claims · 4.9%

Your Cost: $229.27/claim|Median: $231.00
1.0× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$561K

8,762 claims · 4.8%

Your Cost: $63.99/claim|Median: $32.07
2.0× median
D0120Top 5%

Periodic oral evaluation, established patient

$560K

9,031 claims · 4.8%

Your Cost: $62.01/claim|Median: $24.34
2.5× median
D7230Normal range

Extraction, impacted tooth, partial bony

$468K

2,506 claims · 4.0%

Your Cost: $186.93/claim|Median: $187.09
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$468K

8,762 claims · 4.0%

Your Cost: $53.39/claim|Median: $54.60
1.0× median
D0330Normal range

Panoramic radiographic image

$375K

13K claims · 3.2%

Your Cost: $29.30/claim|Median: $37.36
0.8× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$341K

73K claims · 2.9%

Your Cost: $4.66/claim|Median: $7.33
0.6× median
D0210Normal range

Intraoral, complete series of radiographic images

$305K

6,572 claims · 2.6%

Your Cost: $46.44/claim|Median: $46.33
1.0× median
D1120Normal range

Prophylaxis, adult

$244K

6,253 claims · 2.1%

Your Cost: $39.08/claim|Median: $33.86
1.2× median
D0350Normal range

$237K

22K claims · 2.0%

Your Cost: $10.72/claim|Median: $9.73
1.1× median
D7140Normal range

Extraction, erupted tooth or exposed root

$218K

3,830 claims · 1.9%

Your Cost: $56.99/claim|Median: $57.39
1.0× median
D1206Normal range

Topical application of fluoride varnish

$204K

14K claims · 1.7%

Your Cost: $14.47/claim|Median: $18.12
0.8× median
D9223Top 25%

Deep sedation/general anesthesia, each additional 15 min

$193K

711 claims · 1.6%

Your Cost: $271.13/claim|Median: $107.14
2.5× median
D4910Normal range

$189K

2,496 claims · 1.6%

Your Cost: $75.84/claim|Median: $75.56
1.0× median
D0274Normal range

Bitewings, four radiographic images

$186K

9,040 claims · 1.6%

Your Cost: $20.60/claim|Median: $22.54
0.9× median
D4341Normal range

Periodontal scaling, per quadrant

$170K

2,463 claims · 1.4%

Your Cost: $69.21/claim|Median: $70.00
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$136K

1,750 claims · 1.2%

Your Cost: $77.71/claim|Median: $84.26
0.9× median
D2954Normal range

$109K

1,042 claims · 0.9%

Your Cost: $104.29/claim|Median: $104.95
1.0× median
D2751Top 25%

Crown, porcelain fused to predominantly base metal

$107K

224 claims · 0.9%

Your Cost: $476.00/claim|Median: $476.00
1.0× median
D3320Normal range

$87K

241 claims · 0.7%

Your Cost: $359.34/claim|Median: $365.40
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$79K

1,069 claims · 0.7%

Your Cost: $74.24/claim|Median: $66.63
1.1× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$48K

402 claims · 0.4%

Your Cost: $119.68/claim|Median: $90.28
1.3× median
D9110Top 25%

$46K

742 claims · 0.4%

Your Cost: $62.06/claim|Median: $38.08
1.6× median
D2394Normal range

$37K

440 claims · 0.3%

Your Cost: $83.67/claim|Median: $102.14
0.8× median
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