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Provider 1114118130

NPI: 1114118130Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.0M

$8,043,222

Total Claims

279K

Beneficiaries

245K

1.1 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$1.2M
+13%
2019
$1.3M
-24%
2020
$993K
+16%
2021
$1.2M
-9%
2022
$1.0M
+35%
2023
$1.4M
-31%
2024
$977K

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 13% of total spending.

D0120Normal range

Periodic oral evaluation, established patient

$1.1M

45K claims · 13.1%

Your Cost: $23.28/claim|Median: $24.34
1.0× median
D1206Normal range

Topical application of fluoride varnish

$1.0M

51K claims · 12.7%

Your Cost: $20.28/claim|Median: $18.12
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$963K

23K claims · 12.0%

Your Cost: $41.85/claim|Median: $43.38
1.0× median
D1120Normal range

Prophylaxis, adult

$954K

29K claims · 11.9%

Your Cost: $32.95/claim|Median: $33.86
1.0× median
D2150Top 25%

Amalgam, two surfaces, primary or permanent

$626K

8,580 claims · 7.8%

Your Cost: $72.95/claim|Median: $66.00
1.1× median
D0274Normal range

Bitewings, four radiographic images

$493K

19K claims · 6.1%

Your Cost: $26.46/claim|Median: $22.54
1.2× median
D2140Top 25%

Amalgam, one surface, primary or permanent

$402K

6,601 claims · 5.0%

Your Cost: $60.94/claim|Median: $52.77
1.2× median
D0330Normal range

Panoramic radiographic image

$373K

8,274 claims · 4.6%

Your Cost: $45.03/claim|Median: $37.36
1.2× median
D1351Normal range

Sealant, per tooth

$330K

11K claims · 4.1%

Your Cost: $30.74/claim|Median: $26.10
1.2× median
D9630Top 25%

$261K

11K claims · 3.2%

Your Cost: $23.94/claim|Median: $17.78
1.3× median
D7140Normal range

Extraction, erupted tooth or exposed root

$204K

3,371 claims · 2.5%

Your Cost: $60.59/claim|Median: $57.39
1.1× median
D0272Normal range

Bitewings, two radiographic images

$179K

10K claims · 2.2%

Your Cost: $17.73/claim|Median: $15.81
1.1× median
D1354Normal range

$155K

17K claims · 1.9%

Your Cost: $9.08/claim|Median: $12.52
0.7× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$149K

2,028 claims · 1.9%

Your Cost: $73.55/claim|Median: $71.00
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$149K

12K claims · 1.8%

Your Cost: $11.89/claim|Median: $10.51
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$133K

4,679 claims · 1.6%

Your Cost: $28.32/claim|Median: $32.07
0.9× median
D2740Normal range

Crown, porcelain/ceramic substrate

$120K

260 claims · 1.5%

Your Cost: $461.60/claim|Median: $509.58
0.9× median
D2160Top 25%

Amalgam filling, three surfaces

$106K

1,274 claims · 1.3%

Your Cost: $83.26/claim|Median: $78.55
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$99K

1,596 claims · 1.2%

Your Cost: $61.79/claim|Median: $54.60
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$69K

7,408 claims · 0.9%

Your Cost: $9.33/claim|Median: $7.33
1.3× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$46K

1,958 claims · 0.6%

Your Cost: $23.47/claim|Median: $57.30
0.4× median
D1353Top 25%

$42K

1,494 claims · 0.5%

Your Cost: $28.22/claim|Median: $14.03
2.0× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$36K

86 claims · 0.5%

Your Cost: $421.89/claim|Median: $463.40
0.9× median
D2950Normal range

$24K

214 claims · 0.3%

Your Cost: $111.33/claim|Median: $123.37
0.9× median
D2335Normal range

$17K

193 claims · 0.2%

Your Cost: $90.38/claim|Median: $105.06
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$14K

635 claims · 0.2%

Your Cost: $22.52/claim|Median: $27.07
0.8× median
D1208Top 25%

Topical application of fluoride, excluding varnish

$6K

299 claims · 0.1%

Your Cost: $20.04/claim|Median: $14.36
1.4× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$6K

70 claims · 0.1%

Your Cost: $84.31/claim|Median: $84.26
1.0× median
D2332Normal range

$6K

72 claims · 0.1%

Your Cost: $81.45/claim|Median: $87.21
0.9× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$4K

62 claims · 0.1%

Your Cost: $68.86/claim|Median: $73.58
0.9× median
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