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Provider 1114291176

NPI: 1114291176Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$14.8M

$14,844,802

Total Claims

422K

Beneficiaries

398K

1.1 claims/patient

Avg Cost/Claim

$35

Monthly Spending Trend

Yearly Spending

2018
$472K
+73%
2019
$816K
+57%
2020
$1.3M
+51%
2021
$1.9M
+46%
2022
$2.8M
+34%
2023
$3.8M
+1%
2024
$3.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 21% of total spending.

D1120Top 10%

Prophylaxis, adult

$3.1M

67K claims · 20.6%

Your Cost: $45.52/claim|Median: $33.86
1.3× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$2.0M

20K claims · 13.6%

Your Cost: $100.98/claim|Median: $71.00
1.4× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.9M

63K claims · 12.9%

Your Cost: $30.67/claim|Median: $24.34
1.3× median
D1351Top 10%

Sealant, per tooth

$1.2M

21K claims · 8.3%

Your Cost: $58.89/claim|Median: $26.10
2.3× median
D1206Top 5%

Topical application of fluoride varnish

$926K

29K claims · 6.2%

Your Cost: $32.10/claim|Median: $18.12
1.8× median
D0272Normal range

Bitewings, two radiographic images

$747K

42K claims · 5.0%

Your Cost: $17.98/claim|Median: $15.81
1.1× median
D1208Normal range

Topical application of fluoride, excluding varnish

$707K

47K claims · 4.8%

Your Cost: $14.92/claim|Median: $14.36
1.0× median
D1110Top 25%

Prophylaxis, adult cleaning

$636K

10K claims · 4.3%

Your Cost: $60.64/claim|Median: $43.38
1.4× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$513K

3,871 claims · 3.5%

Your Cost: $132.48/claim|Median: $120.85
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$507K

8,088 claims · 3.4%

Your Cost: $62.74/claim|Median: $54.60
1.1× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$473K

32K claims · 3.2%

Your Cost: $14.68/claim|Median: $10.51
1.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$458K

15K claims · 3.1%

Your Cost: $30.91/claim|Median: $32.07
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$424K

7,800 claims · 2.9%

Your Cost: $54.39/claim|Median: $57.39
0.9× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$282K

2,414 claims · 1.9%

Your Cost: $116.77/claim|Median: $84.26
1.4× median
D0240Top 25%

$233K

9,641 claims · 1.6%

Your Cost: $24.13/claim|Median: $15.24
1.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$186K

25K claims · 1.3%

Your Cost: $7.54/claim|Median: $7.33
1.0× median
D0274Top 25%

Bitewings, four radiographic images

$165K

5,396 claims · 1.1%

Your Cost: $30.49/claim|Median: $22.54
1.4× median
D3220Normal range

Therapeutic pulpotomy

$133K

1,557 claims · 0.9%

Your Cost: $85.56/claim|Median: $81.27
1.1× median
D0210Normal range

Intraoral, complete series of radiographic images

$51K

4,252 claims · 0.3%

Your Cost: $12.04/claim|Median: $46.33
0.3× median
D9990Top 10%

$50K

2,256 claims · 0.3%

Your Cost: $22.00/claim|Median: $20.93
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$49K

3,566 claims · 0.3%

Your Cost: $13.77/claim|Median: $27.07
0.5× median
D0330Normal range

Panoramic radiographic image

$49K

1,170 claims · 0.3%

Your Cost: $41.86/claim|Median: $37.36
1.1× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$14K

464 claims · 0.1%

Your Cost: $30.42/claim|Median: $57.30
0.5× median
D9310Top 25%

$8K

104 claims · 0.1%

Your Cost: $80.16/claim|Median: $46.20
1.7× median
D0270Top 10%

$2K

135 claims · 0.0%

Your Cost: $13.47/claim|Median: $5.46
2.5× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$1K

20 claims · 0.0%

Your Cost: $73.88/claim|Median: $66.63
1.1× median
D9430Normal range

$1K

60 claims · 0.0%

Your Cost: $20.42/claim|Median: $31.69
0.6× median
D1354Normal range

$915

61 claims · 0.0%

Your Cost: $15.00/claim|Median: $12.52
1.2× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$0

281 claims · 0.0%

Your Cost: $0.00/claim|Median: $26.24
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