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Provider 1134491194

NPI: 1134491194Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$12.0M

$12,016,715

Total Claims

152K

Beneficiaries

121K

1.3 claims/patient

Avg Cost/Claim

$79

Monthly Spending Trend

Yearly Spending

2018
$1.6M
-2%
2019
$1.6M
-53%
2020
$759K
+74%
2021
$1.3M
+46%
2022
$1.9M
+23%
2023
$2.4M
+2%
2024
$2.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2335) accounts for 15% of total spending.

D2335Top 10%

$1.8M

10K claims · 15.2%

Your Cost: $174.03/claim|Median: $105.06
1.7× median
D8670Normal range

Periodic orthodontic treatment visit

$1.6M

7,106 claims · 13.4%

Your Cost: $227.08/claim|Median: $185.01
1.2× median
D1120Top 5%

Prophylaxis, adult

$854K

17K claims · 7.1%

Your Cost: $50.61/claim|Median: $33.86
1.5× median
D2930Top 10%

Prefabricated stainless steel crown, primary tooth

$783K

3,960 claims · 6.5%

Your Cost: $197.83/claim|Median: $120.85
1.6× median
D2332Top 10%

$761K

5,630 claims · 6.3%

Your Cost: $135.09/claim|Median: $87.21
1.5× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$579K

4,686 claims · 4.8%

Your Cost: $123.54/claim|Median: $84.26
1.5× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$565K

4,987 claims · 4.7%

Your Cost: $113.36/claim|Median: $71.00
1.6× median
D1206Top 25%

Topical application of fluoride varnish

$520K

20K claims · 4.3%

Your Cost: $26.05/claim|Median: $18.12
1.4× median
D1351Top 25%

Sealant, per tooth

$504K

13K claims · 4.2%

Your Cost: $39.43/claim|Median: $26.10
1.5× median
D0120Top 25%

Periodic oral evaluation, established patient

$429K

15K claims · 3.6%

Your Cost: $28.87/claim|Median: $24.34
1.2× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$398K

4,069 claims · 3.3%

Your Cost: $97.83/claim|Median: $57.39
1.7× median
D9110Top 5%

$273K

3,786 claims · 2.3%

Your Cost: $72.08/claim|Median: $38.08
1.9× median
D1110Top 25%

Prophylaxis, adult cleaning

$231K

3,454 claims · 1.9%

Your Cost: $66.94/claim|Median: $43.38
1.5× median
D2394Top 25%

$224K

1,330 claims · 1.9%

Your Cost: $168.05/claim|Median: $102.14
1.6× median
D2160Top 10%

Amalgam filling, three surfaces

$222K

2,130 claims · 1.8%

Your Cost: $104.10/claim|Median: $78.55
1.3× median
D3220Top 25%

Therapeutic pulpotomy

$203K

1,977 claims · 1.7%

Your Cost: $102.59/claim|Median: $81.27
1.3× median
D1516Top 5%

$203K

626 claims · 1.7%

Your Cost: $323.51/claim|Median: $194.77
1.7× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$195K

3,417 claims · 1.6%

Your Cost: $56.99/claim|Median: $32.07
1.8× median
D1517Top 5%

$189K

576 claims · 1.6%

Your Cost: $328.23/claim|Median: $222.87
1.5× median
D0272Top 5%

Bitewings, two radiographic images

$175K

6,006 claims · 1.5%

Your Cost: $29.15/claim|Median: $15.81
1.8× median
D0274Top 5%

Bitewings, four radiographic images

$165K

3,888 claims · 1.4%

Your Cost: $42.49/claim|Median: $22.54
1.9× median
D1515Top 25%

$146K

463 claims · 1.2%

Your Cost: $314.45/claim|Median: $190.57
1.7× median
D2391Top 25%

Resin-based composite, one surface, posterior

$132K

1,478 claims · 1.1%

Your Cost: $89.37/claim|Median: $54.60
1.6× median
D8080Top 25%

Comprehensive orthodontic treatment, adolescent dentition

$128K

110 claims · 1.1%

Your Cost: $1,166.09/claim|Median: $968.00
1.2× median
D0330Top 10%

Panoramic radiographic image

$118K

1,893 claims · 1.0%

Your Cost: $62.19/claim|Median: $37.36
1.7× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$115K

5,629 claims · 1.0%

Your Cost: $20.49/claim|Median: $26.24
0.8× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$111K

1,225 claims · 0.9%

Your Cost: $90.60/claim|Median: $66.00
1.4× median
D2161Top 10%

$87K

662 claims · 0.7%

Your Cost: $131.36/claim|Median: $81.37
1.6× median
D0220Top 5%

Intraoral periapical radiographic image, first film

$51K

2,702 claims · 0.4%

Your Cost: $18.92/claim|Median: $10.51
1.8× median
D8680Normal range

$40K

469 claims · 0.3%

Your Cost: $85.77/claim|Median: $174.00
0.5× median
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