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Provider 1083067482

NPI: 1083067482Share
Active Billing Period:2018-03→2024-12(81 months)

Total Paid

$9.0M

$9,017,498

Total Claims

253K

Beneficiaries

214K

1.2 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$34K
+49%
2019
$52K
+302%
2020
$207K
+361%
2021
$955K
+91%
2022
$1.8M
+75%
2023
$3.2M
-13%
2024
$2.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 26% of total spending.

D1120Top 5%

Prophylaxis, adult

$2.3M

42K claims · 26.0%

Your Cost: $56.39/claim|Median: $33.86
1.7× median
D0120Normal range

Periodic oral evaluation, established patient

$1.0M

40K claims · 11.2%

Your Cost: $24.99/claim|Median: $24.34
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$795K

12K claims · 8.8%

Your Cost: $65.08/claim|Median: $57.39
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$663K

6,041 claims · 7.4%

Your Cost: $109.77/claim|Median: $120.85
0.9× median
D0330Top 25%

Panoramic radiographic image

$580K

9,917 claims · 6.4%

Your Cost: $58.44/claim|Median: $37.36
1.6× median
D2391Normal range

Resin-based composite, one surface, posterior

$477K

9,007 claims · 5.3%

Your Cost: $52.90/claim|Median: $54.60
1.0× median
D0272Normal range

Bitewings, two radiographic images

$437K

22K claims · 4.8%

Your Cost: $20.21/claim|Median: $15.81
1.3× median
D1208Normal range

Topical application of fluoride, excluding varnish

$429K

26K claims · 4.8%

Your Cost: $16.26/claim|Median: $14.36
1.1× median
D1351Normal range

Sealant, per tooth

$381K

20K claims · 4.2%

Your Cost: $18.92/claim|Median: $26.10
0.7× median
D1206Normal range

Topical application of fluoride varnish

$327K

18K claims · 3.6%

Your Cost: $17.84/claim|Median: $18.12
1.0× median
D1110Top 25%

Prophylaxis, adult cleaning

$267K

4,821 claims · 3.0%

Your Cost: $55.46/claim|Median: $43.38
1.3× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$231K

6,792 claims · 2.6%

Your Cost: $34.05/claim|Median: $26.24
1.3× median
D2934Normal range

$230K

2,200 claims · 2.5%

Your Cost: $104.44/claim|Median: $143.67
0.7× median
D9248Normal range

$229K

3,640 claims · 2.5%

Your Cost: $62.91/claim|Median: $92.49
0.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$206K

7,075 claims · 2.3%

Your Cost: $29.06/claim|Median: $32.07
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$79K

2,305 claims · 0.9%

Your Cost: $34.09/claim|Median: $27.07
1.3× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$74K

1,115 claims · 0.8%

Your Cost: $65.95/claim|Median: $71.00
0.9× median
D3220Normal range

Therapeutic pulpotomy

$56K

953 claims · 0.6%

Your Cost: $58.97/claim|Median: $81.27
0.7× median
D9420Normal range

$43K

727 claims · 0.5%

Your Cost: $59.51/claim|Median: $81.82
0.7× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$33K

4,159 claims · 0.4%

Your Cost: $7.83/claim|Median: $7.33
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$29K

556 claims · 0.3%

Your Cost: $51.68/claim|Median: $66.63
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$26K

2,378 claims · 0.3%

Your Cost: $11.05/claim|Median: $10.51
1.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$22K

773 claims · 0.2%

Your Cost: $28.02/claim|Median: $57.30
0.5× median
D0210Normal range

Intraoral, complete series of radiographic images

$18K

392 claims · 0.2%

Your Cost: $46.75/claim|Median: $46.33
1.0× median
D7111Normal range

$13K

229 claims · 0.1%

Your Cost: $54.69/claim|Median: $49.49
1.1× median
D3110Normal range

$8K

516 claims · 0.1%

Your Cost: $16.05/claim|Median: $30.91
0.5× median
D9986Normal range

$6K

5,470 claims · 0.1%

Your Cost: $1.01/claim|Median: $1.04
1.0× median
D1354Normal range

$310

39 claims · 0.0%

Your Cost: $7.94/claim|Median: $12.52
0.6× median
D1999Normal range

$0

2,581 claims · 0.0%

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