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Provider 1154662369

NPI: 1154662369Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$15.4M

$15,414,435

Total Claims

721K

Beneficiaries

551K

1.3 claims/patient

Avg Cost/Claim

$21

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+32%
2019
$2.1M
-26%
2020
$1.6M
+40%
2021
$2.2M
+5%
2022
$2.3M
+13%
2023
$2.6M
+9%
2024
$2.9M

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 11% of total spending.

D2392Normal range

Resin-based composite, two surfaces, posterior

$1.7M

18K claims · 11.3%

Your Cost: $95.97/claim|Median: $71.00
1.4× median
D1120Normal range

Prophylaxis, adult

$1.6M

66K claims · 10.6%

Your Cost: $24.51/claim|Median: $33.86
0.7× median
D0120Normal range

Periodic oral evaluation, established patient

$1.6M

66K claims · 10.1%

Your Cost: $23.57/claim|Median: $24.34
1.0× median
D1206Normal range

Topical application of fluoride varnish

$1.4M

96K claims · 8.8%

Your Cost: $14.16/claim|Median: $18.12
0.8× median
D1351Normal range

Sealant, per tooth

$1.2M

93K claims · 7.7%

Your Cost: $12.69/claim|Median: $26.10
0.5× median
D2391Normal range

Resin-based composite, one surface, posterior

$1.1M

16K claims · 7.1%

Your Cost: $70.57/claim|Median: $54.60
1.3× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$821K

7,576 claims · 5.3%

Your Cost: $108.32/claim|Median: $120.85
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$811K

23K claims · 5.3%

Your Cost: $36.03/claim|Median: $32.07
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$791K

23K claims · 5.1%

Your Cost: $33.91/claim|Median: $43.38
0.8× median
D0330Normal range

Panoramic radiographic image

$772K

19K claims · 5.0%

Your Cost: $40.02/claim|Median: $37.36
1.1× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$623K

47K claims · 4.0%

Your Cost: $13.34/claim|Median: $10.51
1.3× median
D0272Normal range

Bitewings, two radiographic images

$583K

39K claims · 3.8%

Your Cost: $15.10/claim|Median: $15.81
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$445K

11K claims · 2.9%

Your Cost: $40.27/claim|Median: $26.24
1.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$443K

8,729 claims · 2.9%

Your Cost: $50.78/claim|Median: $57.39
0.9× median
D0274Normal range

Bitewings, four radiographic images

$425K

16K claims · 2.8%

Your Cost: $27.18/claim|Median: $22.54
1.2× median
D0140Normal range

Limited oral evaluation, problem focused

$393K

12K claims · 2.5%

Your Cost: $31.86/claim|Median: $27.07
1.2× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$343K

30K claims · 2.2%

Your Cost: $11.23/claim|Median: $7.33
1.5× median
D9420Normal range

$234K

2,887 claims · 1.5%

Your Cost: $81.01/claim|Median: $81.82
1.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$27K

250 claims · 0.2%

Your Cost: $108.17/claim|Median: $84.26
1.3× median
D0160Normal range

$26K

519 claims · 0.2%

Your Cost: $49.92/claim|Median: $34.71
1.4× median
99199Normal range

Unlisted special service, procedure, or report

$26K

4,614 claims · 0.2%

Your Cost: $5.58/claim|Median: $5.39
1.0× median
D3220Normal range

Therapeutic pulpotomy

$26K

345 claims · 0.2%

Your Cost: $74.04/claim|Median: $81.27
0.9× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$17K

962 claims · 0.1%

Your Cost: $17.44/claim|Median: $57.30
0.3× median
D1354Normal range

$14K

2,654 claims · 0.1%

Your Cost: $5.38/claim|Median: $12.52
0.4× median
D4355Normal range

$10K

171 claims · 0.1%

Your Cost: $58.03/claim|Median: $64.42
0.9× median
D0270Normal range

$7K

854 claims · 0.0%

Your Cost: $8.22/claim|Median: $5.46
1.5× median
D4346Normal range

$5K

133 claims · 0.0%

Your Cost: $34.29/claim|Median: $61.42
0.6× median
D7111Normal range

$2K

116 claims · 0.0%

Your Cost: $20.83/claim|Median: $49.49
0.4× median
D2332Normal range

$2K

21 claims · 0.0%

Your Cost: $86.07/claim|Median: $87.21
1.0× median
D9110Normal range

$1K

43 claims · 0.0%

Your Cost: $29.54/claim|Median: $38.08
0.8× median
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