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Provider 1073820395

NPI: 1073820395Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$7,971,106

Total Claims

171K

Beneficiaries

150K

1.1 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$1.3M
-37%
2019
$820K
-19%
2020
$660K
+117%
2021
$1.4M
-15%
2022
$1.2M
+13%
2023
$1.4M
-15%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1110 (Prophylaxis, adult cleaning)) accounts for 13% of total spending.

D1110Top 25%

Prophylaxis, adult cleaning

$1.0M

20K claims · 13.1%

Your Cost: $53.15/claim|Median: $43.38
1.2× median
D2740Top 25%

Crown, porcelain/ceramic substrate

$624K

890 claims · 7.8%

Your Cost: $701.32/claim|Median: $509.58
1.4× median
D0120Normal range

Periodic oral evaluation, established patient

$542K

23K claims · 6.8%

Your Cost: $24.08/claim|Median: $24.34
1.0× median
D0330Top 10%

Panoramic radiographic image

$496K

7,156 claims · 6.2%

Your Cost: $69.29/claim|Median: $37.36
1.9× median
D0140Top 25%

Limited oral evaluation, problem focused

$427K

11K claims · 5.4%

Your Cost: $38.17/claim|Median: $27.07
1.4× median
D2391Normal range

Resin-based composite, one surface, posterior

$423K

6,831 claims · 5.3%

Your Cost: $61.97/claim|Median: $54.60
1.1× median
D1120Top 5%

Prophylaxis, adult

$378K

7,460 claims · 4.7%

Your Cost: $50.67/claim|Median: $33.86
1.5× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$377K

24K claims · 4.7%

Your Cost: $15.65/claim|Median: $10.51
1.5× median
D2751Top 10%

Crown, porcelain fused to predominantly base metal

$375K

671 claims · 4.7%

Your Cost: $559.23/claim|Median: $476.00
1.2× median
D1208Top 5%

Topical application of fluoride, excluding varnish

$373K

13K claims · 4.7%

Your Cost: $28.24/claim|Median: $14.36
2.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$367K

4,638 claims · 4.6%

Your Cost: $79.18/claim|Median: $71.00
1.1× median
D0272Top 10%

Bitewings, two radiographic images

$331K

13K claims · 4.2%

Your Cost: $25.10/claim|Median: $15.81
1.6× median
D2332Top 25%

$329K

2,988 claims · 4.1%

Your Cost: $110.20/claim|Median: $87.21
1.3× median
D7210Top 25%

Extraction, erupted tooth, surgical approach

$258K

1,809 claims · 3.2%

Your Cost: $142.36/claim|Median: $109.42
1.3× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$237K

18K claims · 3.0%

Your Cost: $13.52/claim|Median: $7.33
1.8× median
D2335Top 25%

$198K

1,460 claims · 2.5%

Your Cost: $135.63/claim|Median: $105.06
1.3× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$197K

4,472 claims · 2.5%

Your Cost: $44.02/claim|Median: $32.07
1.4× median
D4341Top 25%

Periodontal scaling, per quadrant

$179K

1,452 claims · 2.2%

Your Cost: $123.34/claim|Median: $70.00
1.8× median
D2950Top 25%

$145K

898 claims · 1.8%

Your Cost: $161.34/claim|Median: $123.37
1.3× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$132K

1,618 claims · 1.7%

Your Cost: $81.78/claim|Median: $84.26
1.0× median
D7311Top 25%

$123K

1,060 claims · 1.5%

Your Cost: $115.58/claim|Median: $91.31
1.3× median
D2954Top 10%

$117K

644 claims · 1.5%

Your Cost: $181.69/claim|Median: $104.95
1.7× median
D1351Top 25%

Sealant, per tooth

$95K

2,437 claims · 1.2%

Your Cost: $39.13/claim|Median: $26.10
1.5× median
D9110Normal range

$65K

1,641 claims · 0.8%

Your Cost: $39.60/claim|Median: $38.08
1.0× median
D3330Top 25%

Endodontic therapy, molar (excluding final restoration)

$59K

92 claims · 0.7%

Your Cost: $638.43/claim|Median: $463.40
1.4× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$30K

381 claims · 0.4%

Your Cost: $78.57/claim|Median: $57.39
1.4× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$25K

365 claims · 0.3%

Your Cost: $69.11/claim|Median: $66.63
1.0× median
D3320Normal range

$20K

42 claims · 0.2%

Your Cost: $467.10/claim|Median: $365.40
1.3× median
D9430Normal range

$3K

178 claims · 0.0%

Your Cost: $17.00/claim|Median: $31.69
0.5× median
D2394Normal range

$3K

20 claims · 0.0%

Your Cost: $127.60/claim|Median: $102.14
1.2× median
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