Provider 1134499684
NPI: 1134499684Share
Active Billing Period:2018-02→2024-12(65 months)
Total Paid
$11.3M
$11,296,154
Total Claims
7,583
Beneficiaries
7,252
1.0 claims/patient
Avg Cost/Claim
$1K
Monthly Spending Trend
Yearly Spending
2018
$48K
+344%
2019
$215K
+643%
2020
$1.6M
+66%
2021
$2.6M
-12%
2022
$2.3M
-17%
2023
$1.9M
+31%
2024
$2.5M
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 9 distinct procedure codes. The top code (D9420) accounts for 80% of total spending.
ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile
D9420Top 1%
$9.1M
5,268 claims · 80.3%
Your Cost: $1,721.65/claim|Median: $81.82
21.0× median$937K
719 claims
$1,303.88
$120.85
10.8×
Top 1%
D2930Top 1%
Prefabricated stainless steel crown, primary tooth
$937K
719 claims · 8.3%
Your Cost: $1,303.88/claim|Median: $120.85
10.8× median$709K
831 claims
$853.04
$763.43
1.1×
Normal range
41899Normal range
Unlisted procedure, dentoalveolar structures
$709K
831 claims · 6.3%
Your Cost: $853.04/claim|Median: $763.43
1.1× medianD1120Top 1%
Prophylaxis, adult
$228K
345 claims · 2.0%
Your Cost: $661.48/claim|Median: $33.86
19.5× median99070Top 1%
$224K
123 claims · 2.0%
Your Cost: $1,819.92/claim|Median: $8.08
225.2× medianX2061Normal range
$94K
52 claims · 0.8%
Your Cost: $1,807.69/claim|Median: $1,924.01
0.9× median$34K
24 claims
$1,420.04
$66.63
21.3×
Top 1%
D2330Top 1%
Resin-based composite filling, one surface, anterior
$34K
24 claims · 0.3%
Your Cost: $1,420.04/claim|Median: $66.63
21.3× medianG0330Normal range
$0
15 claims · 0.0%
Your Cost: $0.00/claim|Median: $1,205.70
00170Normal range
Anesthesia for intraoral procedures
$0
206 claims · 0.0%
Your Cost: $0.00/claim|Median: $132.89