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Provider 1093879322

NPI: 1093879322Share
Active Billing Period:2018-03→2024-12(82 months)

Total Paid

$16.0M

$15,976,887

Total Claims

326K

Beneficiaries

269K

1.2 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+45%
2019
$2.3M
-9%
2020
$2.1M
-53%
2021
$977K
+119%
2022
$2.1M
+61%
2023
$3.4M
+3%
2024
$3.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2930 (Prefabricated stainless steel crown, primary tooth)) accounts for 18% of total spending.

D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$2.9M

20K claims · 18.3%

Your Cost: $144.77/claim|Median: $120.85
1.2× median
D1120Normal range

Prophylaxis, adult

$1.5M

41K claims · 9.6%

Your Cost: $36.92/claim|Median: $33.86
1.1× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$1.4M

15K claims · 9.0%

Your Cost: $98.39/claim|Median: $71.00
1.4× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.4M

48K claims · 8.7%

Your Cost: $28.86/claim|Median: $24.34
1.2× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$1.1M

53K claims · 6.9%

Your Cost: $20.88/claim|Median: $14.36
1.5× median
D2391Normal range

Resin-based composite, one surface, posterior

$931K

13K claims · 5.8%

Your Cost: $72.99/claim|Median: $54.60
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$803K

16K claims · 5.0%

Your Cost: $50.59/claim|Median: $43.38
1.2× median
D0330Top 25%

Panoramic radiographic image

$654K

11K claims · 4.1%

Your Cost: $59.98/claim|Median: $37.36
1.6× median
D9248Top 25%

$648K

5,245 claims · 4.1%

Your Cost: $123.47/claim|Median: $92.49
1.3× median
D0272Top 25%

Bitewings, two radiographic images

$647K

29K claims · 4.1%

Your Cost: $21.99/claim|Median: $15.81
1.4× median
D3220Top 25%

Therapeutic pulpotomy

$632K

6,253 claims · 4.0%

Your Cost: $101.11/claim|Median: $81.27
1.2× median
D1351Normal range

Sealant, per tooth

$565K

19K claims · 3.5%

Your Cost: $30.50/claim|Median: $26.10
1.2× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$522K

7,242 claims · 3.3%

Your Cost: $72.13/claim|Median: $57.39
1.3× median
D2390Top 25%

$356K

1,476 claims · 2.2%

Your Cost: $241.38/claim|Median: $170.27
1.4× median
D0210Top 25%

Intraoral, complete series of radiographic images

$344K

5,190 claims · 2.2%

Your Cost: $66.31/claim|Median: $46.33
1.4× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$263K

5,319 claims · 1.6%

Your Cost: $49.51/claim|Median: $32.07
1.5× median
D7240Normal range

Extraction, impacted tooth, complete bony

$250K

1,066 claims · 1.6%

Your Cost: $234.72/claim|Median: $231.00
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$238K

4,694 claims · 1.5%

Your Cost: $50.61/claim|Median: $57.30
0.9× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$220K

14K claims · 1.4%

Your Cost: $15.35/claim|Median: $10.51
1.5× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$203K

1,614 claims · 1.3%

Your Cost: $125.59/claim|Median: $84.26
1.5× median
D2330Top 25%

Resin-based composite filling, one surface, anterior

$123K

1,484 claims · 0.8%

Your Cost: $82.60/claim|Median: $66.63
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$64K

4,483 claims · 0.4%

Your Cost: $14.24/claim|Median: $27.07
0.5× median
D2331Top 10%

Resin-based composite filling, two surfaces, anterior

$31K

258 claims · 0.2%

Your Cost: $120.48/claim|Median: $73.58
1.6× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$25K

597 claims · 0.2%

Your Cost: $41.33/claim|Median: $26.24
1.6× median
D3110Normal range

$20K

531 claims · 0.1%

Your Cost: $38.14/claim|Median: $30.91
1.2× median
D9239Normal range

$19K

391 claims · 0.1%

Your Cost: $47.67/claim|Median: $73.67
0.6× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$10K

749 claims · 0.1%

Your Cost: $12.92/claim|Median: $7.33
1.8× median
D9222Normal range

Deep sedation/general anesthesia, first 15 minutes

$9K

80 claims · 0.1%

Your Cost: $113.92/claim|Median: $90.28
1.3× median
D9223Normal range

Deep sedation/general anesthesia, each additional 15 min

$6K

68 claims · 0.0%

Your Cost: $83.95/claim|Median: $107.14
0.8× median
D2332Top 25%

$2K

17 claims · 0.0%

Your Cost: $130.68/claim|Median: $87.21
1.5× median
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