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Provider 1093874638

NPI: 1093874638Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$14.4M

$14,366,661

Total Claims

289K

Beneficiaries

210K

1.4 claims/patient

Avg Cost/Claim

$50

Monthly Spending Trend

Yearly Spending

2018
$314K
+610%
2019
$2.2M
-2%
2020
$2.2M
+24%
2021
$2.7M
+4%
2022
$2.8M
-1%
2023
$2.8M
-53%
2024
$1.3M

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 26% of total spending.

D7210Top 25%

Extraction, erupted tooth, surgical approach

$3.7M

28K claims · 25.7%

Your Cost: $133.30/claim|Median: $109.42
1.2× median
D7240Normal range

Extraction, impacted tooth, complete bony

$1.7M

6,709 claims · 11.8%

Your Cost: $253.28/claim|Median: $231.00
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$1.3M

31K claims · 8.9%

Your Cost: $41.66/claim|Median: $43.38
1.0× median
D0330Normal range

Panoramic radiographic image

$713K

16K claims · 5.0%

Your Cost: $44.26/claim|Median: $37.36
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$678K

34K claims · 4.7%

Your Cost: $19.73/claim|Median: $24.34
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$658K

11K claims · 4.6%

Your Cost: $59.51/claim|Median: $57.39
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$637K

10K claims · 4.4%

Your Cost: $61.54/claim|Median: $71.00
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$611K

18K claims · 4.3%

Your Cost: $33.53/claim|Median: $27.07
1.2× median
D0274Normal range

Bitewings, four radiographic images

$502K

18K claims · 3.5%

Your Cost: $27.64/claim|Median: $22.54
1.2× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$372K

4,984 claims · 2.6%

Your Cost: $74.63/claim|Median: $84.26
0.9× median
D7230Normal range

Extraction, impacted tooth, partial bony

$354K

1,669 claims · 2.5%

Your Cost: $212.03/claim|Median: $187.09
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$347K

11K claims · 2.4%

Your Cost: $31.40/claim|Median: $32.07
1.0× median
D1120Normal range

Prophylaxis, adult

$308K

12K claims · 2.1%

Your Cost: $26.00/claim|Median: $33.86
0.8× median
D0210Normal range

Intraoral, complete series of radiographic images

$295K

13K claims · 2.1%

Your Cost: $23.01/claim|Median: $46.33
0.5× median
D2335Normal range

$286K

2,246 claims · 2.0%

Your Cost: $127.32/claim|Median: $105.06
1.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$285K

19K claims · 2.0%

Your Cost: $15.28/claim|Median: $14.36
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$252K

5,504 claims · 1.8%

Your Cost: $45.75/claim|Median: $54.60
0.8× median
D2332Normal range

$243K

2,584 claims · 1.7%

Your Cost: $93.86/claim|Median: $87.21
1.1× median
D9239Normal range

$141K

2,465 claims · 1.0%

Your Cost: $57.07/claim|Median: $73.67
0.8× median
D9243Normal range

$135K

2,611 claims · 0.9%

Your Cost: $51.72/claim|Median: $81.52
0.6× median
D0220Normal range

Intraoral periapical radiographic image, first film

$119K

13K claims · 0.8%

Your Cost: $9.26/claim|Median: $10.51
0.9× median
D2394Normal range

$96K

1,053 claims · 0.7%

Your Cost: $90.80/claim|Median: $102.14
0.9× median
D7250Normal range

$86K

754 claims · 0.6%

Your Cost: $114.59/claim|Median: $112.26
1.0× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$78K

1,065 claims · 0.5%

Your Cost: $73.61/claim|Median: $73.58
1.0× median
D1354Top 10%

$65K

1,209 claims · 0.5%

Your Cost: $53.77/claim|Median: $12.52
4.3× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$60K

8,096 claims · 0.4%

Your Cost: $7.47/claim|Median: $7.33
1.0× median
D1206Normal range

Topical application of fluoride varnish

$60K

3,251 claims · 0.4%

Your Cost: $18.49/claim|Median: $18.12
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$59K

969 claims · 0.4%

Your Cost: $61.12/claim|Median: $66.63
0.9× median
D0272Normal range

Bitewings, two radiographic images

$58K

3,287 claims · 0.4%

Your Cost: $17.66/claim|Median: $15.81
1.1× median
D7220Top 25%

$53K

316 claims · 0.4%

Your Cost: $168.05/claim|Median: $138.00
1.2× median
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