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Provider 1154467173

NPI: 1154467173Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$8.0M

$7,959,909

Total Claims

28K

Beneficiaries

23K

1.3 claims/patient

Avg Cost/Claim

$282

Monthly Spending Trend

Yearly Spending

2018
$1.1M
+13%
2019
$1.2M
-43%
2020
$693K
+1%
2021
$698K
+163%
2022
$1.8M
-31%
2023
$1.3M
-6%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (D1206 (Topical application of fluoride varnish)) accounts for 46% of total spending.

D1206Top 1%

Topical application of fluoride varnish

$3.7M

10K claims · 46.4%

Your Cost: $366.98/claim|Median: $18.12
20.3× median
D0120Top 1%

Periodic oral evaluation, established patient

$1.1M

2,687 claims · 14.4%

Your Cost: $427.63/claim|Median: $24.34
17.6× median
D1110Top 1%

Prophylaxis, adult cleaning

$1.1M

3,253 claims · 14.3%

Your Cost: $350.20/claim|Median: $43.38
8.1× median
D0220Top 1%

Intraoral periapical radiographic image, first film

$347K

970 claims · 4.4%

Your Cost: $357.48/claim|Median: $10.51
34.0× median
D1351Top 1%

Sealant, per tooth

$342K

3,121 claims · 4.3%

Your Cost: $109.73/claim|Median: $26.10
4.2× median
D2392Top 1%

Resin-based composite, two surfaces, posterior

$295K

856 claims · 3.7%

Your Cost: $344.28/claim|Median: $71.00
4.8× median
D0140Top 1%

Limited oral evaluation, problem focused

$243K

459 claims · 3.1%

Your Cost: $529.54/claim|Median: $27.07
19.6× median
D0274Top 1%

Bitewings, four radiographic images

$180K

2,476 claims · 2.3%

Your Cost: $72.68/claim|Median: $22.54
3.2× median
D0150Top 1%

Comprehensive oral evaluation, new or established patient

$171K

453 claims · 2.1%

Your Cost: $377.06/claim|Median: $32.07
11.8× median
D2391Top 1%

Resin-based composite, one surface, posterior

$167K

685 claims · 2.1%

Your Cost: $244.28/claim|Median: $54.60
4.5× median
D1120Top 1%

Prophylaxis, adult

$102K

349 claims · 1.3%

Your Cost: $292.51/claim|Median: $33.86
8.6× median
D8670Top 1%

Periodic orthodontic treatment visit

$50K

48 claims · 0.6%

Your Cost: $1,034.87/claim|Median: $185.01
5.6× median
D4910Top 10%

$34K

396 claims · 0.4%

Your Cost: $84.91/claim|Median: $75.56
1.1× median
D0330Normal range

Panoramic radiographic image

$17K

715 claims · 0.2%

Your Cost: $24.34/claim|Median: $37.36
0.7× median
D2940Top 5%

$16K

97 claims · 0.2%

Your Cost: $164.26/claim|Median: $34.80
4.7× median
D7240Normal range

Extraction, impacted tooth, complete bony

$8K

33 claims · 0.1%

Your Cost: $229.09/claim|Median: $231.00
1.0× median
D7140Top 1%

Extraction, erupted tooth or exposed root

$7K

27 claims · 0.1%

Your Cost: $269.33/claim|Median: $57.39
4.7× median
D0272Top 1%

Bitewings, two radiographic images

$3K

42 claims · 0.0%

Your Cost: $64.95/claim|Median: $15.81
4.1× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$0

19 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.33
D1354Normal range

$0

1,440 claims · 0.0%

Your Cost: $0.00/claim|Median: $12.52
D0170Normal range

$0

44 claims · 0.0%

Your Cost: $0.00/claim|Median: $24.39
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