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Provider 1124482310

NPI: 1124482310Share
Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$8.1M

$8,060,762

Total Claims

104K

Beneficiaries

85K

1.2 claims/patient

Avg Cost/Claim

$78

Monthly Spending Trend

Yearly Spending

2018
$1.0M
+3%
2019
$1.1M
-34%
2020
$711K
+26%
2021
$893K
+33%
2022
$1.2M
+53%
2023
$1.8M
-26%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 25 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 83% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$6.7M

32K claims · 82.7%

Your Cost: $209.36/claim|Median: $121.16
1.7× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$253K

4,055 claims · 3.1%

Your Cost: $62.30/claim|Median: $71.00
0.9× median
D1206Normal range

Topical application of fluoride varnish

$126K

7,438 claims · 1.6%

Your Cost: $16.98/claim|Median: $18.12
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$118K

3,333 claims · 1.5%

Your Cost: $35.37/claim|Median: $32.07
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$116K

2,440 claims · 1.4%

Your Cost: $47.38/claim|Median: $54.60
0.9× median
D0120Normal range

Periodic oral evaluation, established patient

$108K

4,080 claims · 1.3%

Your Cost: $26.42/claim|Median: $24.34
1.1× median
D0330Normal range

Panoramic radiographic image

$107K

3,024 claims · 1.3%

Your Cost: $35.47/claim|Median: $37.36
0.9× median
D0220Normal range

Intraoral periapical radiographic image, first film

$91K

11K claims · 1.1%

Your Cost: $8.67/claim|Median: $10.51
0.8× median
D1120Normal range

Prophylaxis, adult

$74K

3,327 claims · 0.9%

Your Cost: $22.14/claim|Median: $33.86
0.7× median
D0140Normal range

Limited oral evaluation, problem focused

$70K

2,918 claims · 0.9%

Your Cost: $24.11/claim|Median: $27.07
0.9× median
D4341Normal range

Periodontal scaling, per quadrant

$70K

2,040 claims · 0.9%

Your Cost: $34.25/claim|Median: $70.00
0.5× median
D0274Normal range

Bitewings, four radiographic images

$48K

4,047 claims · 0.6%

Your Cost: $11.95/claim|Median: $22.54
0.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$39K

807 claims · 0.5%

Your Cost: $48.34/claim|Median: $57.39
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$37K

827 claims · 0.5%

Your Cost: $44.46/claim|Median: $43.38
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$35K

17K claims · 0.4%

Your Cost: $2.13/claim|Median: $7.33
0.3× median
D1351Normal range

Sealant, per tooth

$34K

1,791 claims · 0.4%

Your Cost: $19.13/claim|Median: $26.10
0.7× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$21K

322 claims · 0.3%

Your Cost: $66.24/claim|Median: $84.26
0.8× median
D0272Normal range

Bitewings, two radiographic images

$15K

1,560 claims · 0.2%

Your Cost: $9.53/claim|Median: $15.81
0.6× median
D1999Normal range

$13K

1,045 claims · 0.2%

Your Cost: $12.78/claim|Median: $11.95
1.1× median
D9992Normal range

$11K

744 claims · 0.1%

Your Cost: $14.19/claim|Median: $13.97
1.0× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$4K

51 claims · 0.1%

Your Cost: $84.46/claim|Median: $73.58
1.1× median
D0270Normal range

$4K

688 claims · 0.0%

Your Cost: $5.15/claim|Median: $5.46
0.9× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$1K

66 claims · 0.0%

Your Cost: $19.70/claim|Median: $26.24
0.8× median
D4342Normal range

$427

21 claims · 0.0%

Your Cost: $20.34/claim|Median: $42.00
0.5× median
D9995Normal range

$150

15 claims · 0.0%

Your Cost: $10.00/claim|Median: $13.12
0.8× median
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