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Provider 1063710010

NPI: 1063710010Share
Active Billing Period:2018-012024-12(83 months)

Total Paid

$8.8M

$8,829,650

Total Claims

259K

Beneficiaries

175K

1.5 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$744K
+71%
2019
$1.3M
-47%
2020
$670K
+45%
2021
$971K
+6%
2022
$1.0M
+39%
2023
$1.4M
+89%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 32% of total spending.

D2930Normal range

Prefabricated stainless steel crown, primary tooth

$2.8M

25K claims · 31.8%

Your Cost: $111.22/claim|Median: $120.85
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$1.4M

21K claims · 15.5%

Your Cost: $63.65/claim|Median: $57.39
1.1× median
D1120Normal range

Prophylaxis, adult

$787K

36K claims · 8.9%

Your Cost: $22.04/claim|Median: $33.86
0.7× median
D1208Normal range

Topical application of fluoride, excluding varnish

$577K

34K claims · 6.5%

Your Cost: $16.90/claim|Median: $14.36
1.2× median
D2933Top 25%

$536K

3,128 claims · 6.1%

Your Cost: $171.28/claim|Median: $145.67
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$472K

25K claims · 5.3%

Your Cost: $19.14/claim|Median: $24.34
0.8× median
D3220Normal range

Therapeutic pulpotomy

$378K

4,831 claims · 4.3%

Your Cost: $78.29/claim|Median: $81.27
1.0× median
D0330Top 25%

Panoramic radiographic image

$332K

5,656 claims · 3.8%

Your Cost: $58.65/claim|Median: $37.36
1.6× median
D0240Normal range

$286K

28K claims · 3.2%

Your Cost: $10.05/claim|Median: $15.24
0.7× median
D0140Normal range

Limited oral evaluation, problem focused

$269K

11K claims · 3.1%

Your Cost: $25.60/claim|Median: $27.07
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$245K

7,837 claims · 2.8%

Your Cost: $31.20/claim|Median: $32.07
1.0× median
D0272Normal range

Bitewings, two radiographic images

$234K

22K claims · 2.7%

Your Cost: $10.53/claim|Median: $15.81
0.7× median
D1510Normal range

$169K

1,209 claims · 1.9%

Your Cost: $139.49/claim|Median: $147.00
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$107K

3,458 claims · 1.2%

Your Cost: $31.07/claim|Median: $26.24
1.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$85K

15K claims · 1.0%

Your Cost: $5.69/claim|Median: $10.51
0.5× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$62K

12K claims · 0.7%

Your Cost: $5.01/claim|Median: $7.33
0.7× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$46K

915 claims · 0.5%

Your Cost: $50.24/claim|Median: $66.00
0.8× median
D2140Normal range

Amalgam, one surface, primary or permanent

$27K

691 claims · 0.3%

Your Cost: $39.19/claim|Median: $52.77
0.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$22K

446 claims · 0.2%

Your Cost: $48.87/claim|Median: $54.60
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$11K

353 claims · 0.1%

Your Cost: $31.77/claim|Median: $46.33
0.7× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$9K

182 claims · 0.1%

Your Cost: $51.43/claim|Median: $71.00
0.7× median
D1351Normal range

Sealant, per tooth

$739

43 claims · 0.0%

Your Cost: $17.19/claim|Median: $26.10
0.7× median
D0270Normal range

$377

79 claims · 0.0%

Your Cost: $4.77/claim|Median: $5.46
0.9× median
D1999Normal range

$0

335 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.95