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Provider 1124233663

NPI: 1124233663Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$7.8M

$7,817,525

Total Claims

230K

Beneficiaries

120K

1.9 claims/patient

Avg Cost/Claim

$34

Monthly Spending Trend

Yearly Spending

2018
$359K
+85%
2019
$664K
-27%
2020
$482K
+152%
2021
$1.2M
+37%
2022
$1.7M
+11%
2023
$1.8M
-13%
2024
$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D4260) accounts for 21% of total spending.

D4260Normal range

$1.7M

3,402 claims · 21.3%

Your Cost: $489.39/claim|Median: $490.00
1.0× median
D4341Normal range

Periodontal scaling, per quadrant

$855K

12K claims · 10.9%

Your Cost: $69.79/claim|Median: $70.00
1.0× median
D4910Normal range

$713K

9,275 claims · 9.1%

Your Cost: $76.88/claim|Median: $75.56
1.0× median
D0120Top 5%

Periodic oral evaluation, established patient

$611K

9,842 claims · 7.8%

Your Cost: $62.08/claim|Median: $24.34
2.6× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$527K

8,201 claims · 6.7%

Your Cost: $64.26/claim|Median: $32.07
2.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$423K

102K claims · 5.4%

Your Cost: $4.13/claim|Median: $7.33
0.6× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$348K

2,977 claims · 4.5%

Your Cost: $116.87/claim|Median: $109.42
1.1× median
D0274Normal range

Bitewings, four radiographic images

$317K

15K claims · 4.1%

Your Cost: $21.26/claim|Median: $22.54
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$300K

5,582 claims · 3.8%

Your Cost: $53.72/claim|Median: $54.60
1.0× median
D1110Top 5%

Prophylaxis, adult cleaning

$280K

3,227 claims · 3.6%

Your Cost: $86.88/claim|Median: $43.38
2.0× median
D1120Top 25%

Prophylaxis, adult

$263K

6,560 claims · 3.4%

Your Cost: $40.02/claim|Median: $33.86
1.2× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$212K

3,190 claims · 2.7%

Your Cost: $66.51/claim|Median: $71.00
0.9× median
D9110Top 25%

$187K

3,014 claims · 2.4%

Your Cost: $62.20/claim|Median: $38.08
1.6× median
D1208Normal range

Topical application of fluoride, excluding varnish

$172K

16K claims · 2.2%

Your Cost: $10.45/claim|Median: $14.36
0.7× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$156K

2,048 claims · 2.0%

Your Cost: $76.11/claim|Median: $66.63
1.1× median
D2740Normal range

Crown, porcelain/ceramic substrate

$119K

250 claims · 1.5%

Your Cost: $476.00/claim|Median: $509.58
0.9× median
D9430Normal range

$115K

3,614 claims · 1.5%

Your Cost: $31.94/claim|Median: $31.69
1.0× median
D0330Normal range

Panoramic radiographic image

$108K

3,670 claims · 1.4%

Your Cost: $29.48/claim|Median: $37.36
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$89K

1,560 claims · 1.1%

Your Cost: $56.79/claim|Median: $57.39
1.0× median
D0350Normal range

$79K

7,853 claims · 1.0%

Your Cost: $10.01/claim|Median: $9.73
1.0× median
D4342Normal range

$72K

1,707 claims · 0.9%

Your Cost: $41.96/claim|Median: $42.00
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$56K

708 claims · 0.7%

Your Cost: $79.53/claim|Median: $84.26
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$55K

4,614 claims · 0.7%

Your Cost: $11.87/claim|Median: $10.51
1.1× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$50K

748 claims · 0.6%

Your Cost: $66.48/claim|Median: $66.00
1.0× median
D2332Normal range

$15K

188 claims · 0.2%

Your Cost: $79.17/claim|Median: $87.21
0.9× median
D0272Normal range

Bitewings, two radiographic images

$13K

1,136 claims · 0.2%

Your Cost: $11.81/claim|Median: $15.81
0.7× median
D2954Normal range

$10K

98 claims · 0.1%

Your Cost: $103.93/claim|Median: $104.95
1.0× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$4K

44 claims · 0.0%

Your Cost: $80.09/claim|Median: $73.58
1.1× median
D2140Normal range

Amalgam, one surface, primary or permanent

$3K

62 claims · 0.0%

Your Cost: $54.60/claim|Median: $52.77
1.0× median
D1351Normal range

Sealant, per tooth

$858

39 claims · 0.0%

Your Cost: $22.00/claim|Median: $26.10
0.8× median
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