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Provider 1093121378

NPI: 1093121378Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$9.0M

$9,024,555

Total Claims

419K

Beneficiaries

244K

1.7 claims/patient

Avg Cost/Claim

$22

Monthly Spending Trend

Yearly Spending

2018
$893K
+15%
2019
$1.0M
-11%
2020
$915K
+3%
2021
$946K
+57%
2022
$1.5M
+33%
2023
$2.0M
-10%
2024
$1.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 19% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$1.7M

29K claims · 18.5%

Your Cost: $57.74/claim|Median: $24.34
2.4× median
D1120Top 25%

Prophylaxis, adult

$1.4M

35K claims · 15.7%

Your Cost: $40.31/claim|Median: $33.86
1.2× median
D0350Normal range

$800K

94K claims · 8.9%

Your Cost: $8.51/claim|Median: $9.73
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$569K

8,724 claims · 6.3%

Your Cost: $65.22/claim|Median: $71.00
0.9× median
D1351Normal range

Sealant, per tooth

$561K

19K claims · 6.2%

Your Cost: $29.70/claim|Median: $26.10
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$488K

120K claims · 5.4%

Your Cost: $4.05/claim|Median: $7.33
0.6× median
D1208Normal range

Topical application of fluoride, excluding varnish

$474K

33K claims · 5.3%

Your Cost: $14.22/claim|Median: $14.36
1.0× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$466K

4,022 claims · 5.2%

Your Cost: $115.81/claim|Median: $120.85
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$361K

9,225 claims · 4.0%

Your Cost: $39.15/claim|Median: $26.24
1.5× median
D3220Normal range

Therapeutic pulpotomy

$327K

3,368 claims · 3.6%

Your Cost: $97.23/claim|Median: $81.27
1.2× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$298K

4,700 claims · 3.3%

Your Cost: $63.39/claim|Median: $32.07
2.0× median
D0274Normal range

Bitewings, four radiographic images

$280K

13K claims · 3.1%

Your Cost: $20.96/claim|Median: $22.54
0.9× median
D1310Normal range

Nutritional counseling for control of dental disease

$226K

5,356 claims · 2.5%

Your Cost: $42.25/claim|Median: $40.52
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$171K

3,056 claims · 1.9%

Your Cost: $56.09/claim|Median: $57.39
1.0× median
D0272Normal range

Bitewings, two radiographic images

$149K

13K claims · 1.6%

Your Cost: $11.73/claim|Median: $15.81
0.7× median
D2391Normal range

Resin-based composite, one surface, posterior

$147K

2,800 claims · 1.6%

Your Cost: $52.59/claim|Median: $54.60
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$129K

2,091 claims · 1.4%

Your Cost: $61.77/claim|Median: $57.30
1.1× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$100K

1,282 claims · 1.1%

Your Cost: $77.87/claim|Median: $84.26
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$82K

7,031 claims · 0.9%

Your Cost: $11.62/claim|Median: $10.51
1.1× median
D9430Normal range

$60K

1,902 claims · 0.7%

Your Cost: $31.73/claim|Median: $31.69
1.0× median
D0330Normal range

Panoramic radiographic image

$60K

2,097 claims · 0.7%

Your Cost: $28.72/claim|Median: $37.36
0.8× median
D1510Top 25%

$46K

240 claims · 0.5%

Your Cost: $190.83/claim|Median: $147.00
1.3× median
D2335Normal range

$45K

393 claims · 0.5%

Your Cost: $115.37/claim|Median: $105.06
1.1× median
D0603Top 25%

$37K

2,568 claims · 0.4%

Your Cost: $14.22/claim|Median: $6.54
2.2× median
D0601Top 25%

$21K

1,628 claims · 0.2%

Your Cost: $13.12/claim|Median: $7.50
1.7× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$12K

153 claims · 0.1%

Your Cost: $79.04/claim|Median: $66.63
1.2× median
D2940Normal range

$7K

480 claims · 0.1%

Your Cost: $13.91/claim|Median: $34.80
0.4× median
D2332Normal range

$6K

82 claims · 0.1%

Your Cost: $78.14/claim|Median: $87.21
0.9× median
D0602Top 25%

$6K

460 claims · 0.1%

Your Cost: $13.77/claim|Median: $6.95
2.0× median
D2394Normal range

$3K

39 claims · 0.0%

Your Cost: $79.69/claim|Median: $102.14
0.8× median
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