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Provider 1144628868

NPI: 1144628868Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.3M

$13,305,846

Total Claims

300K

Beneficiaries

254K

1.2 claims/patient

Avg Cost/Claim

$44

Monthly Spending Trend

Yearly Spending

2018
$1.5M
+18%
2019
$1.7M
-22%
2020
$1.4M
+28%
2021
$1.7M
+19%
2022
$2.1M
+16%
2023
$2.4M
+5%
2024
$2.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 15% of total spending.

D2392Top 10%

Resin-based composite, two surfaces, posterior

$2.0M

16K claims · 15.2%

Your Cost: $124.16/claim|Median: $71.00
1.7× median
D1120Top 25%

Prophylaxis, adult

$1.5M

33K claims · 11.1%

Your Cost: $44.15/claim|Median: $33.86
1.3× median
D7140Top 5%

Extraction, erupted tooth or exposed root

$1.3M

12K claims · 10.1%

Your Cost: $111.51/claim|Median: $57.39
1.9× median
D1351Top 25%

Sealant, per tooth

$1.2M

36K claims · 9.2%

Your Cost: $34.39/claim|Median: $26.10
1.3× median
D1206Top 25%

Topical application of fluoride varnish

$1.1M

43K claims · 8.1%

Your Cost: $24.92/claim|Median: $18.12
1.4× median
D0120Top 25%

Periodic oral evaluation, established patient

$991K

33K claims · 7.4%

Your Cost: $29.85/claim|Median: $24.34
1.2× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$737K

4,673 claims · 5.5%

Your Cost: $157.75/claim|Median: $120.85
1.3× median
D9248Top 5%

$685K

3,716 claims · 5.1%

Your Cost: $184.40/claim|Median: $92.49
2.0× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$470K

8,776 claims · 3.5%

Your Cost: $53.55/claim|Median: $32.07
1.7× median
D0272Normal range

Bitewings, two radiographic images

$412K

27K claims · 3.1%

Your Cost: $15.41/claim|Median: $15.81
1.0× median
D1110Top 25%

Prophylaxis, adult cleaning

$409K

6,531 claims · 3.1%

Your Cost: $62.59/claim|Median: $43.38
1.4× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$364K

2,338 claims · 2.7%

Your Cost: $155.87/claim|Median: $84.26
1.8× median
D0330Normal range

Panoramic radiographic image

$334K

7,719 claims · 2.5%

Your Cost: $43.31/claim|Median: $37.36
1.2× median
D0140Top 25%

Limited oral evaluation, problem focused

$316K

7,133 claims · 2.4%

Your Cost: $44.25/claim|Median: $27.07
1.6× median
D2391Top 10%

Resin-based composite, one surface, posterior

$302K

3,095 claims · 2.3%

Your Cost: $97.49/claim|Median: $54.60
1.8× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$238K

13K claims · 1.8%

Your Cost: $18.47/claim|Median: $26.24
0.7× median
D0274Normal range

Bitewings, four radiographic images

$166K

7,241 claims · 1.2%

Your Cost: $22.95/claim|Median: $22.54
1.0× median
D1330Normal range

$134K

22K claims · 1.0%

Your Cost: $6.22/claim|Median: $5.73
1.1× median
D4355Top 25%

$119K

1,194 claims · 0.9%

Your Cost: $99.75/claim|Median: $64.42
1.5× median
D3120Normal range

$100K

2,897 claims · 0.8%

Your Cost: $34.59/claim|Median: $24.98
1.4× median
D8670Normal range

Periodic orthodontic treatment visit

$92K

1,236 claims · 0.7%

Your Cost: $74.45/claim|Median: $185.01
0.4× median
D3220Normal range

Therapeutic pulpotomy

$83K

1,401 claims · 0.6%

Your Cost: $59.46/claim|Median: $81.27
0.7× median
D9310Normal range

$42K

887 claims · 0.3%

Your Cost: $46.86/claim|Median: $46.20
1.0× median
D3330Top 10%

Endodontic therapy, molar (excluding final restoration)

$41K

55 claims · 0.3%

Your Cost: $748.00/claim|Median: $463.40
1.6× median
D0220Normal range

Intraoral periapical radiographic image, first film

$38K

3,757 claims · 0.3%

Your Cost: $10.08/claim|Median: $10.51
1.0× median
D0240Normal range

$31K

1,940 claims · 0.2%

Your Cost: $16.09/claim|Median: $15.24
1.1× median
D2335Top 25%

$19K

128 claims · 0.1%

Your Cost: $150.41/claim|Median: $105.06
1.4× median
D2332Top 25%

$19K

158 claims · 0.1%

Your Cost: $120.25/claim|Median: $87.21
1.4× median
D4341Normal range

Periodontal scaling, per quadrant

$11K

118 claims · 0.1%

Your Cost: $90.00/claim|Median: $70.00
1.3× median
D1510Normal range

$5K

66 claims · 0.0%

Your Cost: $82.73/claim|Median: $147.00
0.6× median
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