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Provider 1114093457

NPI: 1114093457Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$11.9M

$11,870,449

Total Claims

243K

Beneficiaries

183K

1.3 claims/patient

Avg Cost/Claim

$49

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+5%
2019
$1.1M
+22%
2020
$1.3M
+21%
2021
$1.6M
+66%
2022
$2.7M
-11%
2023
$2.4M
-24%
2024
$1.8M

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 20% of total spending.

D7210Top 25%

Extraction, erupted tooth, surgical approach

$2.4M

17K claims · 20.4%

Your Cost: $144.17/claim|Median: $109.42
1.3× median
D7230Top 25%

Extraction, impacted tooth, partial bony

$1.6M

6,990 claims · 13.4%

Your Cost: $226.82/claim|Median: $187.09
1.2× median
D9243Normal range

$1.5M

17K claims · 12.3%

Your Cost: $84.93/claim|Median: $81.52
1.0× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$1.0M

11K claims · 8.8%

Your Cost: $97.88/claim|Median: $57.39
1.7× median
D7250Top 25%

$923K

5,123 claims · 7.8%

Your Cost: $180.13/claim|Median: $112.26
1.6× median
D9239Top 25%

$585K

4,663 claims · 4.9%

Your Cost: $125.49/claim|Median: $73.67
1.7× median
D0140Normal range

Limited oral evaluation, problem focused

$471K

15K claims · 4.0%

Your Cost: $31.93/claim|Median: $27.07
1.2× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$404K

6,409 claims · 3.4%

Your Cost: $63.01/claim|Median: $66.00
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$392K

10K claims · 3.3%

Your Cost: $38.31/claim|Median: $43.38
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$341K

7,798 claims · 2.9%

Your Cost: $43.74/claim|Median: $46.33
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$273K

12K claims · 2.3%

Your Cost: $23.35/claim|Median: $24.34
1.0× median
D4341Normal range

Periodontal scaling, per quadrant

$272K

3,892 claims · 2.3%

Your Cost: $70.01/claim|Median: $70.00
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$268K

9,073 claims · 2.3%

Your Cost: $29.49/claim|Median: $32.07
0.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$224K

14K claims · 1.9%

Your Cost: $15.44/claim|Median: $14.36
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$176K

24K claims · 1.5%

Your Cost: $7.25/claim|Median: $10.51
0.7× median
D2160Normal range

Amalgam filling, three surfaces

$137K

1,902 claims · 1.2%

Your Cost: $72.21/claim|Median: $78.55
0.9× median
D0274Normal range

Bitewings, four radiographic images

$123K

11K claims · 1.0%

Your Cost: $10.79/claim|Median: $22.54
0.5× median
D2332Normal range

$120K

1,276 claims · 1.0%

Your Cost: $93.90/claim|Median: $87.21
1.1× median
D4910Normal range

$109K

1,907 claims · 0.9%

Your Cost: $57.31/claim|Median: $75.56
0.8× median
D1120Normal range

Prophylaxis, adult

$108K

3,398 claims · 0.9%

Your Cost: $31.65/claim|Median: $33.86
0.9× median
D0330Normal range

Panoramic radiographic image

$106K

14K claims · 0.9%

Your Cost: $7.49/claim|Median: $37.36
0.2× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$91K

33K claims · 0.8%

Your Cost: $2.79/claim|Median: $7.33
0.4× median
D3320Normal range

$71K

240 claims · 0.6%

Your Cost: $295.90/claim|Median: $365.40
0.8× median
D2161Normal range

$36K

397 claims · 0.3%

Your Cost: $90.05/claim|Median: $81.37
1.1× median
D2140Normal range

Amalgam, one surface, primary or permanent

$27K

561 claims · 0.2%

Your Cost: $47.99/claim|Median: $52.77
0.9× median
D0272Normal range

Bitewings, two radiographic images

$19K

1,521 claims · 0.2%

Your Cost: $12.82/claim|Median: $15.81
0.8× median
D0240Normal range

$18K

1,473 claims · 0.2%

Your Cost: $12.29/claim|Median: $15.24
0.8× median
D3310Normal range

$15K

61 claims · 0.1%

Your Cost: $242.25/claim|Median: $302.40
0.8× median
D1999Normal range

$12K

1,818 claims · 0.1%

Your Cost: $6.80/claim|Median: $11.95
0.6× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$12K

182 claims · 0.1%

Your Cost: $66.08/claim|Median: $71.00
0.9× median
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