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Provider 1134477425

NPI: 1134477425Share
Active Billing Period:2018-01→2024-12(54 months)

Total Paid

$10.9M

$10,894,463

Total Claims

256K

Beneficiaries

220K

1.2 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$11K
+53%
2019
$17K
+4270%
2020
$746K
+540%
2021
$4.8M
+12%
2024
$5.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D9248) accounts for 12% of total spending.

D9248Top 5%

$1.3M

5,059 claims · 12.3%

Your Cost: $264.52/claim|Median: $92.49
2.9× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$940K

6,930 claims · 8.6%

Your Cost: $135.67/claim|Median: $120.85
1.1× median
D1351Top 25%

Sealant, per tooth

$858K

25K claims · 7.9%

Your Cost: $34.94/claim|Median: $26.10
1.3× median
D1120Normal range

Prophylaxis, adult

$839K

21K claims · 7.7%

Your Cost: $39.23/claim|Median: $33.86
1.2× median
D0120Top 25%

Periodic oral evaluation, established patient

$833K

26K claims · 7.6%

Your Cost: $31.92/claim|Median: $24.34
1.3× median
D1206Normal range

Topical application of fluoride varnish

$688K

31K claims · 6.3%

Your Cost: $22.42/claim|Median: $18.12
1.2× median
D1110Top 25%

Prophylaxis, adult cleaning

$615K

11K claims · 5.6%

Your Cost: $57.81/claim|Median: $43.38
1.3× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$598K

7,417 claims · 5.5%

Your Cost: $80.63/claim|Median: $57.39
1.4× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$570K

5,077 claims · 5.2%

Your Cost: $112.32/claim|Median: $71.00
1.6× median
D2391Top 25%

Resin-based composite, one surface, posterior

$364K

4,361 claims · 3.3%

Your Cost: $83.47/claim|Median: $54.60
1.5× median
D9230Top 10%

Inhalation of nitrous oxide/analgesia, anxiolysis

$334K

6,360 claims · 3.1%

Your Cost: $52.54/claim|Median: $26.24
2.0× median
D0272Top 5%

Bitewings, two radiographic images

$304K

10K claims · 2.8%

Your Cost: $29.37/claim|Median: $15.81
1.9× median
D2150Top 25%

Amalgam, two surfaces, primary or permanent

$291K

3,523 claims · 2.7%

Your Cost: $82.48/claim|Median: $66.00
1.2× median
D8670Top 25%

Periodic orthodontic treatment visit

$261K

882 claims · 2.4%

Your Cost: $296.15/claim|Median: $185.01
1.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$248K

6,067 claims · 2.3%

Your Cost: $40.93/claim|Median: $32.07
1.3× median
D0274Top 10%

Bitewings, four radiographic images

$229K

6,272 claims · 2.1%

Your Cost: $36.52/claim|Median: $22.54
1.6× median
D1330Normal range

$181K

23K claims · 1.7%

Your Cost: $7.99/claim|Median: $5.73
1.4× median
D2140Top 10%

Amalgam, one surface, primary or permanent

$156K

2,239 claims · 1.4%

Your Cost: $69.62/claim|Median: $52.77
1.3× median
D2332Top 25%

$136K

1,238 claims · 1.2%

Your Cost: $109.50/claim|Median: $87.21
1.3× median
D1310Normal range

Nutritional counseling for control of dental disease

$128K

12K claims · 1.2%

Your Cost: $10.32/claim|Median: $40.52
0.3× median
D1510Top 25%

$127K

614 claims · 1.2%

Your Cost: $206.39/claim|Median: $147.00
1.4× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$117K

9,087 claims · 1.1%

Your Cost: $12.87/claim|Median: $10.51
1.2× median
D0603Normal range

$109K

11K claims · 1.0%

Your Cost: $9.85/claim|Median: $6.54
1.5× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$106K

758 claims · 1.0%

Your Cost: $139.92/claim|Median: $84.26
1.7× median
D1320Top 25%

$99K

5,318 claims · 0.9%

Your Cost: $18.71/claim|Median: $14.84
1.3× median
D0330Top 25%

Panoramic radiographic image

$92K

1,775 claims · 0.8%

Your Cost: $52.06/claim|Median: $37.36
1.4× median
D0140Top 5%

Limited oral evaluation, problem focused

$67K

1,048 claims · 0.6%

Your Cost: $63.59/claim|Median: $27.07
2.3× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$53K

725 claims · 0.5%

Your Cost: $73.39/claim|Median: $66.63
1.1× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$40K

1,834 claims · 0.4%

Your Cost: $21.77/claim|Median: $7.33
3.0× median
D0210Top 10%

Intraoral, complete series of radiographic images

$31K

423 claims · 0.3%

Your Cost: $74.14/claim|Median: $46.33
1.6× median
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