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Provider 1124143300

NPI: 1124143300Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.8M

$8,830,674

Total Claims

189K

Beneficiaries

159K

1.2 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$751K
+23%
2019
$923K
-50%
2020
$464K
+80%
2021
$838K
+20%
2022
$1.0M
+155%
2023
$2.6M
-11%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D7140 (Extraction, erupted tooth or exposed root)) accounts for 14% of total spending.

D7140Normal range

Extraction, erupted tooth or exposed root

$1.2M

23K claims · 13.7%

Your Cost: $51.80/claim|Median: $57.39
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$711K

9,203 claims · 8.1%

Your Cost: $77.28/claim|Median: $71.00
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$568K

15K claims · 6.4%

Your Cost: $38.78/claim|Median: $43.38
0.9× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$521K

902 claims · 5.9%

Your Cost: $577.63/claim|Median: $463.40
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$475K

8,479 claims · 5.4%

Your Cost: $55.99/claim|Median: $54.60
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$471K

15K claims · 5.3%

Your Cost: $30.51/claim|Median: $27.07
1.1× median
D2740Normal range

Crown, porcelain/ceramic substrate

$444K

884 claims · 5.0%

Your Cost: $502.33/claim|Median: $509.58
1.0× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$381K

12K claims · 4.3%

Your Cost: $31.53/claim|Median: $32.07
1.0× median
D0120Normal range

Periodic oral evaluation, established patient

$283K

12K claims · 3.2%

Your Cost: $24.52/claim|Median: $24.34
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$281K

6,008 claims · 3.2%

Your Cost: $46.72/claim|Median: $46.33
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$267K

2,968 claims · 3.0%

Your Cost: $89.81/claim|Median: $84.26
1.1× median
D0330Normal range

Panoramic radiographic image

$265K

6,934 claims · 3.0%

Your Cost: $38.29/claim|Median: $37.36
1.0× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$264K

3,904 claims · 3.0%

Your Cost: $67.61/claim|Median: $73.58
0.9× median
D1120Normal range

Prophylaxis, adult

$228K

5,885 claims · 2.6%

Your Cost: $38.66/claim|Median: $33.86
1.1× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$198K

3,715 claims · 2.2%

Your Cost: $53.27/claim|Median: $66.63
0.8× median
D2332Normal range

$177K

2,141 claims · 2.0%

Your Cost: $82.55/claim|Median: $87.21
0.9× median
D2335Normal range

$175K

1,686 claims · 2.0%

Your Cost: $103.62/claim|Median: $105.06
1.0× median
D3320Normal range

$169K

390 claims · 1.9%

Your Cost: $433.13/claim|Median: $365.40
1.2× median
D5110Normal range

$167K

345 claims · 1.9%

Your Cost: $484.42/claim|Median: $472.15
1.0× median
D1206Normal range

Topical application of fluoride varnish

$159K

13K claims · 1.8%

Your Cost: $12.33/claim|Median: $18.12
0.7× median
D0274Normal range

Bitewings, four radiographic images

$155K

6,514 claims · 1.8%

Your Cost: $23.78/claim|Median: $22.54
1.1× median
D2930Top 10%

Prefabricated stainless steel crown, primary tooth

$152K

829 claims · 1.7%

Your Cost: $183.76/claim|Median: $120.85
1.5× median
D2950Normal range

$152K

1,203 claims · 1.7%

Your Cost: $125.97/claim|Median: $123.37
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$144K

13K claims · 1.6%

Your Cost: $11.10/claim|Median: $10.51
1.1× median
D3310Normal range

$97K

282 claims · 1.1%

Your Cost: $342.93/claim|Median: $302.40
1.1× median
D5214Normal range

$79K

115 claims · 0.9%

Your Cost: $685.09/claim|Median: $561.58
1.2× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$78K

987 claims · 0.9%

Your Cost: $78.93/claim|Median: $109.42
0.7× median
D0272Top 25%

Bitewings, two radiographic images

$54K

2,536 claims · 0.6%

Your Cost: $21.43/claim|Median: $15.81
1.4× median
D4910Normal range

$52K

1,558 claims · 0.6%

Your Cost: $33.56/claim|Median: $75.56
0.4× median
D4341Normal range

Periodontal scaling, per quadrant

$52K

558 claims · 0.6%

Your Cost: $92.45/claim|Median: $70.00
1.3× median
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