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Provider 1124460126

NPI: 1124460126Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$10.2M

$10,249,209

Total Claims

226K

Beneficiaries

206K

1.1 claims/patient

Avg Cost/Claim

$45

Monthly Spending Trend

Yearly Spending

2018
$421K
+147%
2019
$1.0M
+26%
2020
$1.3M
+40%
2021
$1.8M
-3%
2022
$1.8M
+13%
2023
$2.0M
-6%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 11% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$1.1M

14K claims · 10.7%

Your Cost: $75.48/claim|Median: $71.00
1.1× median
D2740Normal range

Crown, porcelain/ceramic substrate

$939K

3,191 claims · 9.2%

Your Cost: $294.30/claim|Median: $509.58
0.6× median
D4341Top 5%

Periodontal scaling, per quadrant

$937K

3,937 claims · 9.1%

Your Cost: $237.99/claim|Median: $70.00
3.4× median
D1120Top 25%

Prophylaxis, adult

$895K

22K claims · 8.7%

Your Cost: $41.08/claim|Median: $33.86
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$848K

30K claims · 8.3%

Your Cost: $27.94/claim|Median: $24.34
1.1× median
D1351Top 5%

Sealant, per tooth

$779K

9,546 claims · 7.6%

Your Cost: $81.59/claim|Median: $26.10
3.1× median
D1208Top 10%

Topical application of fluoride, excluding varnish

$567K

22K claims · 5.5%

Your Cost: $26.03/claim|Median: $14.36
1.8× median
D1110Normal range

Prophylaxis, adult cleaning

$414K

9,463 claims · 4.0%

Your Cost: $43.72/claim|Median: $43.38
1.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$402K

5,230 claims · 3.9%

Your Cost: $76.92/claim|Median: $109.42
0.7× median
D2950Normal range

$386K

5,775 claims · 3.8%

Your Cost: $66.81/claim|Median: $123.37
0.5× median
D4342Top 1%

$354K

1,746 claims · 3.5%

Your Cost: $202.78/claim|Median: $42.00
4.8× median
D0274Normal range

Bitewings, four radiographic images

$325K

18K claims · 3.2%

Your Cost: $17.87/claim|Median: $22.54
0.8× median
D7140Normal range

Extraction, erupted tooth or exposed root

$306K

4,847 claims · 3.0%

Your Cost: $63.07/claim|Median: $57.39
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$230K

13K claims · 2.2%

Your Cost: $17.66/claim|Median: $27.07
0.7× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$221K

9,900 claims · 2.2%

Your Cost: $22.31/claim|Median: $32.07
0.7× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$219K

2,715 claims · 2.1%

Your Cost: $80.77/claim|Median: $84.26
1.0× median
D9110Top 25%

$200K

3,673 claims · 2.0%

Your Cost: $54.42/claim|Median: $38.08
1.4× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$157K

1,844 claims · 1.5%

Your Cost: $85.17/claim|Median: $73.58
1.2× median
D8670Normal range

Periodic orthodontic treatment visit

$146K

641 claims · 1.4%

Your Cost: $228.39/claim|Median: $185.01
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$135K

2,998 claims · 1.3%

Your Cost: $44.88/claim|Median: $54.60
0.8× median
D2332Normal range

$127K

1,304 claims · 1.2%

Your Cost: $97.18/claim|Median: $87.21
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$104K

18K claims · 1.0%

Your Cost: $5.73/claim|Median: $10.51
0.5× median
D2750Normal range

Crown, porcelain fused to high noble metal

$101K

394 claims · 1.0%

Your Cost: $255.78/claim|Median: $445.23
0.6× median
D3310Normal range

$97K

542 claims · 0.9%

Your Cost: $179.23/claim|Median: $302.40
0.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$61K

10K claims · 0.6%

Your Cost: $5.92/claim|Median: $7.33
0.8× median
D0330Normal range

Panoramic radiographic image

$58K

3,043 claims · 0.6%

Your Cost: $19.05/claim|Median: $37.36
0.5× median
D2920Normal range

$34K

890 claims · 0.3%

Your Cost: $38.05/claim|Median: $37.48
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$31K

2,707 claims · 0.3%

Your Cost: $11.62/claim|Median: $46.33
0.3× median
D3220Normal range

Therapeutic pulpotomy

$30K

494 claims · 0.3%

Your Cost: $60.27/claim|Median: $81.27
0.7× median
D0272Normal range

Bitewings, two radiographic images

$25K

2,457 claims · 0.2%

Your Cost: $10.00/claim|Median: $15.81
0.6× median