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Provider 1124142773

NPI: 1124142773Share
Active Billing Period:2018-01→2024-12(74 months)

Total Paid

$8.4M

$8,394,785

Total Claims

262K

Beneficiaries

206K

1.3 claims/patient

Avg Cost/Claim

$32

Monthly Spending Trend

Yearly Spending

2018
$1.7M
+14%
2019
$1.9M
-24%
2020
$1.5M
+2%
2021
$1.5M
-26%
2022
$1.1M
-76%
2023
$270K
+33%
2024
$360K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 21% of total spending.

D1120Top 10%

Prophylaxis, adult

$1.8M

37K claims · 21.5%

Your Cost: $49.15/claim|Median: $33.86
1.5× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$966K

8,668 claims · 11.5%

Your Cost: $111.50/claim|Median: $120.85
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$759K

16K claims · 9.0%

Your Cost: $48.16/claim|Median: $57.39
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$733K

33K claims · 8.7%

Your Cost: $21.91/claim|Median: $24.34
0.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$552K

38K claims · 6.6%

Your Cost: $14.61/claim|Median: $14.36
1.0× median
D2934Normal range

$467K

4,154 claims · 5.6%

Your Cost: $112.45/claim|Median: $143.67
0.8× median
D1351Normal range

Sealant, per tooth

$439K

28K claims · 5.2%

Your Cost: $15.76/claim|Median: $26.10
0.6× median
D2391Normal range

Resin-based composite, one surface, posterior

$404K

7,647 claims · 4.8%

Your Cost: $52.90/claim|Median: $54.60
1.0× median
D9248Normal range

$381K

5,751 claims · 4.5%

Your Cost: $66.29/claim|Median: $92.49
0.7× median
D0330Normal range

Panoramic radiographic image

$367K

9,163 claims · 4.4%

Your Cost: $40.10/claim|Median: $37.36
1.1× median
D0272Normal range

Bitewings, two radiographic images

$323K

18K claims · 3.8%

Your Cost: $17.77/claim|Median: $15.81
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$267K

7,667 claims · 3.2%

Your Cost: $34.78/claim|Median: $26.24
1.3× median
D3220Normal range

Therapeutic pulpotomy

$231K

3,683 claims · 2.8%

Your Cost: $62.83/claim|Median: $81.27
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$166K

3,354 claims · 2.0%

Your Cost: $49.53/claim|Median: $43.38
1.1× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$115K

4,564 claims · 1.4%

Your Cost: $25.10/claim|Median: $32.07
0.8× median
D9420Normal range

$93K

1,476 claims · 1.1%

Your Cost: $63.11/claim|Median: $81.82
0.8× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$82K

1,553 claims · 1.0%

Your Cost: $52.69/claim|Median: $66.63
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$76K

2,533 claims · 0.9%

Your Cost: $29.87/claim|Median: $27.07
1.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$45K

6,200 claims · 0.5%

Your Cost: $7.25/claim|Median: $7.33
1.0× median
D3110Normal range

$37K

2,335 claims · 0.4%

Your Cost: $16.00/claim|Median: $30.91
0.5× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$31K

1,382 claims · 0.4%

Your Cost: $22.65/claim|Median: $57.30
0.4× median
D1206Normal range

Topical application of fluoride varnish

$27K

1,523 claims · 0.3%

Your Cost: $17.80/claim|Median: $18.12
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$16K

1,612 claims · 0.2%

Your Cost: $9.63/claim|Median: $10.51
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$7K

98 claims · 0.1%

Your Cost: $69.31/claim|Median: $71.00
1.0× median
D1354Normal range

$5K

1,079 claims · 0.1%

Your Cost: $4.23/claim|Median: $12.52
0.3× median
D7111Normal range

$867

16 claims · 0.0%

Your Cost: $54.17/claim|Median: $49.49
1.1× median
D9986Normal range

$489

8,525 claims · 0.0%

Your Cost: $0.06/claim|Median: $1.04
0.1× median
D9987Normal range

$456

2,386 claims · 0.0%

Your Cost: $0.19/claim|Median: $2.03
0.1× median
D0603Normal range

$0

140 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
D9995Normal range

$0

17 claims · 0.0%

Your Cost: $0.00/claim|Median: $13.12
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