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Provider 1174540959

NPI: 1174540959Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,198,051

Total Claims

283K

Beneficiaries

235K

1.2 claims/patient

Avg Cost/Claim

$29

Monthly Spending Trend

Yearly Spending

2018
$648K
+7%
2019
$695K
-9%
2020
$635K
+58%
2021
$1.0M
+37%
2022
$1.4M
+39%
2023
$1.9M
+1%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 16% of total spending.

D1120Normal range

Prophylaxis, adult

$1.3M

38K claims · 16.3%

Your Cost: $35.63/claim|Median: $33.86
1.1× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.1M

19K claims · 13.3%

Your Cost: $57.16/claim|Median: $71.00
0.8× median
D9248Top 25%

$766K

5,884 claims · 9.3%

Your Cost: $130.22/claim|Median: $92.49
1.4× median
D0120Normal range

Periodic oral evaluation, established patient

$728K

33K claims · 8.9%

Your Cost: $22.15/claim|Median: $24.34
0.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$670K

38K claims · 8.2%

Your Cost: $17.69/claim|Median: $14.36
1.2× median
D1351Normal range

Sealant, per tooth

$666K

31K claims · 8.1%

Your Cost: $21.26/claim|Median: $26.10
0.8× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$595K

5,717 claims · 7.3%

Your Cost: $104.09/claim|Median: $120.85
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$404K

8,009 claims · 4.9%

Your Cost: $50.41/claim|Median: $57.39
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$306K

6,731 claims · 3.7%

Your Cost: $45.41/claim|Median: $54.60
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$259K

7,514 claims · 3.2%

Your Cost: $34.51/claim|Median: $32.07
1.1× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$229K

15K claims · 2.8%

Your Cost: $14.81/claim|Median: $26.24
0.6× median
D3220Normal range

Therapeutic pulpotomy

$213K

3,492 claims · 2.6%

Your Cost: $61.13/claim|Median: $81.27
0.8× median
D0272Normal range

Bitewings, two radiographic images

$143K

15K claims · 1.7%

Your Cost: $9.60/claim|Median: $15.81
0.6× median
D0240Normal range

$115K

6,625 claims · 1.4%

Your Cost: $17.39/claim|Median: $15.24
1.1× median
D0330Normal range

Panoramic radiographic image

$100K

3,276 claims · 1.2%

Your Cost: $30.49/claim|Median: $37.36
0.8× median
D0140Normal range

Limited oral evaluation, problem focused

$93K

2,643 claims · 1.1%

Your Cost: $35.26/claim|Median: $27.07
1.3× median
D0603Normal range

$56K

6,382 claims · 0.7%

Your Cost: $8.78/claim|Median: $6.54
1.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$50K

9,862 claims · 0.6%

Your Cost: $5.08/claim|Median: $10.51
0.5× median
D0274Normal range

Bitewings, four radiographic images

$45K

4,223 claims · 0.6%

Your Cost: $10.69/claim|Median: $22.54
0.5× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$43K

821 claims · 0.5%

Your Cost: $52.13/claim|Median: $84.26
0.6× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$43K

7,817 claims · 0.5%

Your Cost: $5.45/claim|Median: $7.33
0.7× median
D2332Normal range

$42K

708 claims · 0.5%

Your Cost: $59.69/claim|Median: $87.21
0.7× median
D0210Normal range

Intraoral, complete series of radiographic images

$34K

739 claims · 0.4%

Your Cost: $45.84/claim|Median: $46.33
1.0× median
D0602Normal range

$34K

3,876 claims · 0.4%

Your Cost: $8.74/claim|Median: $6.95
1.3× median
D1110Normal range

Prophylaxis, adult cleaning

$32K

1,045 claims · 0.4%

Your Cost: $30.24/claim|Median: $43.38
0.7× median
D9420Top 10%

$25K

95 claims · 0.3%

Your Cost: $265.79/claim|Median: $81.82
3.2× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$20K

1,140 claims · 0.2%

Your Cost: $17.82/claim|Median: $57.30
0.3× median
D0601Normal range

$19K

2,375 claims · 0.2%

Your Cost: $8.11/claim|Median: $7.50
1.1× median
D1510Normal range

$12K

96 claims · 0.1%

Your Cost: $122.08/claim|Median: $147.00
0.8× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$7K

15 claims · 0.1%

Your Cost: $458.33/claim|Median: $463.40
1.0× median
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