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Provider 1124360946

NPI: 1124360946Share
Active Billing Period:2018-03→2024-12(65 months)

Total Paid

$11.0M

$10,998,248

Total Claims

437K

Beneficiaries

316K

1.4 claims/patient

Avg Cost/Claim

$25

Monthly Spending Trend

Yearly Spending

2018
$3K
+283%
2019
$12K
+2661%
2020
$322K
+711%
2021
$2.6M
+6%
2022
$2.8M
+6%
2023
$2.9M
-20%
2024
$2.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 29 distinct procedure codes. The top code (D0230 (Intraoral, periapical radiographic image, first film)) accounts for 11% of total spending.

D0230Normal range

Intraoral, periapical radiographic image, first film

$1.2M

120K claims · 10.6%

Your Cost: $9.77/claim|Median: $7.33
1.3× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$1.1M

7,641 claims · 10.2%

Your Cost: $146.45/claim|Median: $120.85
1.2× median
D0145Top 10%

Oral evaluation for patient under 3 years, counseling

$1.1M

7,620 claims · 9.7%

Your Cost: $140.45/claim|Median: $57.30
2.5× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.0M

36K claims · 9.2%

Your Cost: $28.41/claim|Median: $24.34
1.2× median
D1120Normal range

Prophylaxis, adult

$924K

26K claims · 8.4%

Your Cost: $36.16/claim|Median: $33.86
1.1× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$862K

8,617 claims · 7.8%

Your Cost: $100.07/claim|Median: $71.00
1.4× median
D1351Normal range

Sealant, per tooth

$836K

30K claims · 7.6%

Your Cost: $27.63/claim|Median: $26.10
1.1× median
D1110Top 25%

Prophylaxis, adult cleaning

$822K

15K claims · 7.5%

Your Cost: $53.60/claim|Median: $43.38
1.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$609K

42K claims · 5.5%

Your Cost: $14.46/claim|Median: $14.36
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$499K

43K claims · 4.5%

Your Cost: $11.53/claim|Median: $10.51
1.1× median
D2391Top 25%

Resin-based composite, one surface, posterior

$447K

5,757 claims · 4.1%

Your Cost: $77.65/claim|Median: $54.60
1.4× median
D0274Normal range

Bitewings, four radiographic images

$306K

11K claims · 2.8%

Your Cost: $26.65/claim|Median: $22.54
1.2× median
D3220Normal range

Therapeutic pulpotomy

$265K

3,206 claims · 2.4%

Your Cost: $82.53/claim|Median: $81.27
1.0× median
D0272Normal range

Bitewings, two radiographic images

$259K

14K claims · 2.4%

Your Cost: $19.13/claim|Median: $15.81
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$198K

5,749 claims · 1.8%

Your Cost: $34.48/claim|Median: $32.07
1.1× median
D7240Normal range

Extraction, impacted tooth, complete bony

$181K

657 claims · 1.6%

Your Cost: $274.84/claim|Median: $231.00
1.2× median
D0210Top 25%

Intraoral, complete series of radiographic images

$150K

2,211 claims · 1.4%

Your Cost: $67.77/claim|Median: $46.33
1.5× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$126K

4,691 claims · 1.1%

Your Cost: $26.85/claim|Median: $26.24
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$56K

914 claims · 0.5%

Your Cost: $61.07/claim|Median: $57.39
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$24K

1,323 claims · 0.2%

Your Cost: $18.26/claim|Median: $27.07
0.7× median
D9243Normal range

$24K

619 claims · 0.2%

Your Cost: $38.77/claim|Median: $81.52
0.5× median
D9248Top 25%

$15K

123 claims · 0.1%

Your Cost: $120.89/claim|Median: $92.49
1.3× median
D9239Normal range

$12K

215 claims · 0.1%

Your Cost: $54.65/claim|Median: $73.67
0.7× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$8K

88 claims · 0.1%

Your Cost: $94.44/claim|Median: $109.42
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$4K

39 claims · 0.0%

Your Cost: $107.07/claim|Median: $84.26
1.3× median
D0270Normal range

$266

62 claims · 0.0%

Your Cost: $4.29/claim|Median: $5.46
0.8× median
D0603Normal range

$0

23K claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
0.0× median
D0602Normal range

$0

27K claims · 0.0%

Your Cost: $0.00/claim|Median: $6.95
0.0× median
D0601Normal range

$0

188 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.50
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