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Provider 1114156957

NPI: 1114156957Share
Active Billing Period:2018-10→2024-12(62 months)

Total Paid

$8.4M

$8,359,301

Total Claims

308K

Beneficiaries

256K

1.2 claims/patient

Avg Cost/Claim

$27

Monthly Spending Trend

Yearly Spending

2018
$2K
+265%
2019
$6K
+3255%
2020
$214K
+781%
2021
$1.9M
+7%
2022
$2.0M
+15%
2023
$2.3M
-17%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (D0145 (Oral evaluation for patient under 3 years, counseling)) accounts for 16% of total spending.

D0145Top 25%

Oral evaluation for patient under 3 years, counseling

$1.4M

9,880 claims · 16.4%

Your Cost: $138.83/claim|Median: $57.30
2.4× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.1M

7,623 claims · 12.6%

Your Cost: $137.98/claim|Median: $120.85
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$930K

33K claims · 11.1%

Your Cost: $27.92/claim|Median: $24.34
1.1× median
D1120Normal range

Prophylaxis, adult

$895K

25K claims · 10.7%

Your Cost: $35.20/claim|Median: $33.86
1.0× median
D1351Normal range

Sealant, per tooth

$625K

24K claims · 7.5%

Your Cost: $25.60/claim|Median: $26.10
1.0× median
D1110Top 25%

Prophylaxis, adult cleaning

$512K

9,646 claims · 6.1%

Your Cost: $53.05/claim|Median: $43.38
1.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$498K

35K claims · 6.0%

Your Cost: $14.21/claim|Median: $14.36
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$285K

31K claims · 3.4%

Your Cost: $9.29/claim|Median: $7.33
1.3× median
D0350Normal range

$252K

28K claims · 3.0%

Your Cost: $9.15/claim|Median: $9.73
0.9× median
D0272Top 25%

Bitewings, two radiographic images

$239K

11K claims · 2.9%

Your Cost: $20.84/claim|Median: $15.81
1.3× median
D2391Normal range

Resin-based composite, one surface, posterior

$231K

3,203 claims · 2.8%

Your Cost: $72.18/claim|Median: $54.60
1.3× median
D2934Normal range

$225K

1,655 claims · 2.7%

Your Cost: $135.68/claim|Median: $143.67
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$178K

1,944 claims · 2.1%

Your Cost: $91.64/claim|Median: $71.00
1.3× median
D0330Normal range

Panoramic radiographic image

$159K

5,127 claims · 1.9%

Your Cost: $31.05/claim|Median: $37.36
0.8× median
D0220Normal range

Intraoral periapical radiographic image, first film

$154K

14K claims · 1.8%

Your Cost: $10.79/claim|Median: $10.51
1.0× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$146K

5,877 claims · 1.8%

Your Cost: $24.90/claim|Median: $26.24
0.9× median
D0274Normal range

Bitewings, four radiographic images

$145K

5,075 claims · 1.7%

Your Cost: $28.67/claim|Median: $22.54
1.3× median
D0210Top 25%

Intraoral, complete series of radiographic images

$132K

2,246 claims · 1.6%

Your Cost: $58.63/claim|Median: $46.33
1.3× median
D9248Normal range

$111K

1,006 claims · 1.3%

Your Cost: $110.13/claim|Median: $92.49
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$61K

1,946 claims · 0.7%

Your Cost: $31.36/claim|Median: $32.07
1.0× median
D3220Normal range

Therapeutic pulpotomy

$60K

755 claims · 0.7%

Your Cost: $80.11/claim|Median: $81.27
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$56K

1,046 claims · 0.7%

Your Cost: $53.55/claim|Median: $57.39
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$31K

1,720 claims · 0.4%

Your Cost: $17.93/claim|Median: $27.07
0.7× median
D0270Normal range

$8K

1,751 claims · 0.1%

Your Cost: $4.68/claim|Median: $5.46
0.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$911

22 claims · 0.0%

Your Cost: $41.42/claim|Median: $66.63
0.6× median
D7111Normal range

$184

18 claims · 0.0%

Your Cost: $10.20/claim|Median: $49.49
0.2× median
D0601Normal range

$0

569 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.50
D0603Normal range

$0

45K claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
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