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Provider 1164572053

NPI: 1164572053Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$12.5M

$12,541,040

Total Claims

266K

Beneficiaries

155K

1.7 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$315K
+76%
2019
$556K
+28%
2020
$710K
+141%
2021
$1.7M
+52%
2022
$2.6M
+29%
2023
$3.4M
-2%
2024
$3.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D3330 (Endodontic therapy, molar (excluding final restoration))) accounts for 13% of total spending.

D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$1.7M

3,594 claims · 13.3%

Your Cost: $463.17/claim|Median: $463.40
1.0× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$1.5M

24K claims · 12.2%

Your Cost: $65.13/claim|Median: $32.07
2.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$1.2M

9,932 claims · 9.4%

Your Cost: $118.64/claim|Median: $109.42
1.1× median
D2740Normal range

Crown, porcelain/ceramic substrate

$901K

1,893 claims · 7.2%

Your Cost: $476.00/claim|Median: $509.58
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$849K

18K claims · 6.8%

Your Cost: $47.60/claim|Median: $46.33
1.0× median
D3320Normal range

$587K

1,607 claims · 4.7%

Your Cost: $365.06/claim|Median: $365.40
1.0× median
D0120Top 5%

Periodic oral evaluation, established patient

$555K

9,064 claims · 4.4%

Your Cost: $61.26/claim|Median: $24.34
2.5× median
D7240Normal range

Extraction, impacted tooth, complete bony

$477K

2,066 claims · 3.8%

Your Cost: $230.86/claim|Median: $231.00
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$410K

101K claims · 3.3%

Your Cost: $4.06/claim|Median: $7.33
0.6× median
D7230Normal range

Extraction, impacted tooth, partial bony

$352K

1,864 claims · 2.8%

Your Cost: $188.62/claim|Median: $187.09
1.0× median
D1120Normal range

Prophylaxis, adult

$344K

8,878 claims · 2.7%

Your Cost: $38.70/claim|Median: $33.86
1.1× median
D9430Normal range

$297K

9,269 claims · 2.4%

Your Cost: $32.00/claim|Median: $31.69
1.0× median
D0330Normal range

Panoramic radiographic image

$278K

9,366 claims · 2.2%

Your Cost: $29.67/claim|Median: $37.36
0.8× median
D4341Normal range

Periodontal scaling, per quadrant

$267K

3,824 claims · 2.1%

Your Cost: $69.94/claim|Median: $70.00
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$267K

4,905 claims · 2.1%

Your Cost: $54.42/claim|Median: $54.60
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$261K

3,889 claims · 2.1%

Your Cost: $67.00/claim|Median: $71.00
0.9× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$210K

3,134 claims · 1.7%

Your Cost: $66.96/claim|Median: $66.00
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$175K

3,061 claims · 1.4%

Your Cost: $57.16/claim|Median: $57.39
1.0× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$161K

1,372 claims · 1.3%

Your Cost: $117.52/claim|Median: $120.85
1.0× median
D1351Normal range

Sealant, per tooth

$155K

5,259 claims · 1.2%

Your Cost: $29.52/claim|Median: $26.10
1.1× median
D1110Top 10%

Prophylaxis, adult cleaning

$155K

1,870 claims · 1.2%

Your Cost: $82.67/claim|Median: $43.38
1.9× median
D8670Top 25%

Periodic orthodontic treatment visit

$149K

543 claims · 1.2%

Your Cost: $274.98/claim|Median: $185.01
1.5× median
D3310Normal range

$148K

491 claims · 1.2%

Your Cost: $302.40/claim|Median: $302.40
1.0× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$128K

3,231 claims · 1.0%

Your Cost: $39.69/claim|Median: $26.24
1.5× median
D3220Top 25%

Therapeutic pulpotomy

$125K

1,267 claims · 1.0%

Your Cost: $98.62/claim|Median: $81.27
1.2× median
D1208Normal range

Topical application of fluoride, excluding varnish

$117K

8,800 claims · 0.9%

Your Cost: $13.35/claim|Median: $14.36
0.9× median
D0272Normal range

Bitewings, two radiographic images

$107K

9,274 claims · 0.9%

Your Cost: $11.57/claim|Median: $15.81
0.7× median
D2160Normal range

Amalgam filling, three surfaces

$106K

1,338 claims · 0.8%

Your Cost: $79.44/claim|Median: $78.55
1.0× median
D1310Normal range

Nutritional counseling for control of dental disease

$66K

1,478 claims · 0.5%

Your Cost: $44.88/claim|Median: $40.52
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$66K

5,592 claims · 0.5%

Your Cost: $11.82/claim|Median: $10.51
1.1× median
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