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Provider 1134251580

NPI: 1134251580Share
Active Billing Period:2018-01→2024-12(73 months)

Total Paid

$11.7M

$11,688,063

Total Claims

443K

Beneficiaries

400K

1.1 claims/patient

Avg Cost/Claim

$26

Monthly Spending Trend

Yearly Spending

2018
$493K
+33%
2019
$658K
-14%
2020
$567K
-28%
2021
$410K
-57%
2022
$175K
+141%
2023
$421K
+2028%
2024
$9.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1206 (Topical application of fluoride varnish)) accounts for 13% of total spending.

D1206Normal range

Topical application of fluoride varnish

$1.5M

70K claims · 12.9%

Your Cost: $21.51/claim|Median: $18.12
1.2× median
D0120Normal range

Periodic oral evaluation, established patient

$1.3M

57K claims · 11.5%

Your Cost: $23.38/claim|Median: $24.34
1.0× median
D1120Normal range

Prophylaxis, adult

$1.3M

43K claims · 11.3%

Your Cost: $30.72/claim|Median: $33.86
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.3M

17K claims · 10.8%

Your Cost: $74.33/claim|Median: $71.00
1.0× median
D1110Normal range

Prophylaxis, adult cleaning

$807K

20K claims · 6.9%

Your Cost: $41.37/claim|Median: $43.38
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$621K

9,129 claims · 5.3%

Your Cost: $68.05/claim|Median: $57.39
1.2× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$617K

4,344 claims · 5.3%

Your Cost: $142.02/claim|Median: $120.85
1.2× median
D1351Normal range

Sealant, per tooth

$512K

16K claims · 4.4%

Your Cost: $31.59/claim|Median: $26.10
1.2× median
D0274Top 25%

Bitewings, four radiographic images

$493K

16K claims · 4.2%

Your Cost: $30.78/claim|Median: $22.54
1.4× median
D0272Normal range

Bitewings, two radiographic images

$472K

25K claims · 4.0%

Your Cost: $18.95/claim|Median: $15.81
1.2× median
D2391Normal range

Resin-based composite, one surface, posterior

$411K

6,868 claims · 3.5%

Your Cost: $59.88/claim|Median: $54.60
1.1× median
D0330Normal range

Panoramic radiographic image

$343K

7,548 claims · 2.9%

Your Cost: $45.47/claim|Median: $37.36
1.2× median
D1330Normal range

$331K

45K claims · 2.8%

Your Cost: $7.42/claim|Median: $5.73
1.3× median
D1310Normal range

Nutritional counseling for control of dental disease

$331K

45K claims · 2.8%

Your Cost: $7.41/claim|Median: $40.52
0.2× median
D3220Normal range

Therapeutic pulpotomy

$234K

3,045 claims · 2.0%

Your Cost: $76.75/claim|Median: $81.27
0.9× median
D0603Normal range

$194K

20K claims · 1.7%

Your Cost: $9.71/claim|Median: $6.54
1.5× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$148K

5,815 claims · 1.3%

Your Cost: $25.44/claim|Median: $32.07
0.8× median
D0240Normal range

$104K

6,009 claims · 0.9%

Your Cost: $17.34/claim|Median: $15.24
1.1× median
D0140Top 25%

Limited oral evaluation, problem focused

$99K

2,272 claims · 0.8%

Your Cost: $43.64/claim|Median: $27.07
1.6× median
D0220Normal range

Intraoral periapical radiographic image, first film

$97K

10K claims · 0.8%

Your Cost: $9.29/claim|Median: $10.51
0.9× median
D2933Normal range

$96K

581 claims · 0.8%

Your Cost: $164.51/claim|Median: $145.67
1.1× median
D3230Top 5%

$88K

491 claims · 0.8%

Your Cost: $179.42/claim|Median: $98.27
1.8× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$83K

1,024 claims · 0.7%

Your Cost: $81.47/claim|Median: $84.26
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$51K

7,809 claims · 0.4%

Your Cost: $6.47/claim|Median: $7.33
0.9× median
D1510Normal range

$32K

222 claims · 0.3%

Your Cost: $144.31/claim|Median: $147.00
1.0× median
D0602Normal range

$26K

2,639 claims · 0.2%

Your Cost: $9.67/claim|Median: $6.95
1.4× median
D0210Normal range

Intraoral, complete series of radiographic images

$25K

464 claims · 0.2%

Your Cost: $54.02/claim|Median: $46.33
1.2× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$15K

269 claims · 0.1%

Your Cost: $54.04/claim|Median: $66.63
0.8× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$10K

157 claims · 0.1%

Your Cost: $61.98/claim|Median: $73.58
0.8× median
D9230Top 10%

Inhalation of nitrous oxide/analgesia, anxiolysis

$8K

178 claims · 0.1%

Your Cost: $46.14/claim|Median: $26.24
1.8× median
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