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Provider 1114324951

NPI: 1114324951Share
Active Billing Period:2018-01→2022-12(60 months)
Billing appears to have stoppedLast active: 2022-12

Total Paid

$15.5M

$15,536,521

Total Claims

413K

Beneficiaries

317K

1.3 claims/patient

Avg Cost/Claim

$38

Monthly Spending Trend

Yearly Spending

2018
$696K
+378%
2019
$3.3M
-16%
2020
$2.8M
+36%
2021
$3.8M
+28%
2022
$4.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1110 (Prophylaxis, adult cleaning)) accounts for 7% of total spending.

D1110Normal range

Prophylaxis, adult cleaning

$1.1M

27K claims · 7.2%

Your Cost: $41.46/claim|Median: $43.38
1.0× median
D0330Top 25%

Panoramic radiographic image

$1.0M

17K claims · 6.6%

Your Cost: $60.16/claim|Median: $37.36
1.6× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$946K

9,769 claims · 6.1%

Your Cost: $96.82/claim|Median: $109.42
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$915K

13K claims · 5.9%

Your Cost: $70.87/claim|Median: $57.39
1.2× median
D1206Normal range

Topical application of fluoride varnish

$841K

39K claims · 5.4%

Your Cost: $21.32/claim|Median: $18.12
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$767K

16K claims · 4.9%

Your Cost: $49.03/claim|Median: $54.60
0.9× median
D0274Normal range

Bitewings, four radiographic images

$703K

24K claims · 4.5%

Your Cost: $28.92/claim|Median: $22.54
1.3× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$698K

12K claims · 4.5%

Your Cost: $60.29/claim|Median: $71.00
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$670K

24K claims · 4.3%

Your Cost: $27.55/claim|Median: $27.07
1.0× median
D1351Normal range

Sealant, per tooth

$602K

21K claims · 3.9%

Your Cost: $28.97/claim|Median: $26.10
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$592K

24K claims · 3.8%

Your Cost: $24.23/claim|Median: $24.34
1.0× median
D5212Top 10%

$559K

865 claims · 3.6%

Your Cost: $646.12/claim|Median: $402.44
1.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$471K

16K claims · 3.0%

Your Cost: $30.12/claim|Median: $32.07
0.9× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$438K

6,229 claims · 2.8%

Your Cost: $70.32/claim|Median: $66.00
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$438K

54K claims · 2.8%

Your Cost: $8.09/claim|Median: $7.33
1.1× median
D2140Normal range

Amalgam, one surface, primary or permanent

$411K

8,352 claims · 2.6%

Your Cost: $49.22/claim|Median: $52.77
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$396K

36K claims · 2.6%

Your Cost: $11.06/claim|Median: $10.51
1.1× median
D5110Top 25%

$390K

517 claims · 2.5%

Your Cost: $753.77/claim|Median: $472.15
1.6× median
D1120Normal range

Prophylaxis, adult

$385K

14K claims · 2.5%

Your Cost: $27.75/claim|Median: $33.86
0.8× median
D5211Top 25%

$341K

652 claims · 2.2%

Your Cost: $522.67/claim|Median: $350.00
1.5× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$285K

3,771 claims · 1.8%

Your Cost: $75.64/claim|Median: $73.58
1.0× median
D2335Normal range

$280K

2,797 claims · 1.8%

Your Cost: $99.96/claim|Median: $105.06
1.0× median
D2160Top 25%

Amalgam filling, three surfaces

$250K

3,095 claims · 1.6%

Your Cost: $80.85/claim|Median: $78.55
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$231K

4,154 claims · 1.5%

Your Cost: $55.57/claim|Median: $66.63
0.8× median
D2332Normal range

$192K

2,224 claims · 1.2%

Your Cost: $86.29/claim|Median: $87.21
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$189K

2,680 claims · 1.2%

Your Cost: $70.56/claim|Median: $84.26
0.8× median
D0272Top 10%

Bitewings, two radiographic images

$182K

7,310 claims · 1.2%

Your Cost: $24.95/claim|Median: $15.81
1.6× median
D1330Top 10%

$151K

6,937 claims · 1.0%

Your Cost: $21.71/claim|Median: $5.73
3.8× median
D5120Top 5%

$151K

166 claims · 1.0%

Your Cost: $906.98/claim|Median: $468.71
1.9× median
D3320Normal range

$133K

347 claims · 0.9%

Your Cost: $382.30/claim|Median: $365.40
1.0× median
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