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Provider 1114266970

NPI: 1114266970Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$16.8M

$16,788,237

Total Claims

23K

Beneficiaries

19K

1.2 claims/patient

Avg Cost/Claim

$729

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+41%
2019
$2.5M
-27%
2020
$1.8M
+21%
2021
$2.2M
+24%
2022
$2.7M
+4%
2023
$2.8M
+14%
2024
$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 5 distinct procedure codes. The top code (41899 (Unlisted procedure, dentoalveolar structures)) accounts for 99% of total spending.

41899Normal range

Unlisted procedure, dentoalveolar structures

$16.6M

20K claims · 99.1%

Your Cost: $833.48/claim|Median: $763.43
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$121K

1,395 claims · 0.7%

Your Cost: $86.92/claim|Median: $120.85
0.7× median
D9420Normal range

$20K

513 claims · 0.1%

Your Cost: $38.18/claim|Median: $81.82
0.5× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$10K

1,139 claims · 0.1%

Your Cost: $9.09/claim|Median: $7.33
1.2× median
D2933Normal range

$4K

39 claims · 0.0%

Your Cost: $106.96/claim|Median: $145.67
0.7× median