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Provider 1184018954

NPI: 1184018954Share
Active Billing Period:2018-07→2024-12(78 months)

Total Paid

$18.1M

$18,094,157

Total Claims

179K

Beneficiaries

149K

1.2 claims/patient

Avg Cost/Claim

$101

Monthly Spending Trend

Yearly Spending

2018
$712K
+166%
2019
$1.9M
-3%
2020
$1.8M
+17%
2021
$2.1M
+13%
2022
$2.4M
+56%
2023
$3.7M
+44%
2024
$5.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 83% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$14.9M

64K claims · 82.6%

Your Cost: $235.17/claim|Median: $121.16
1.9× median
D0999Top 25%

Unspecified diagnostic procedure, by report

$679K

2,819 claims · 3.8%

Your Cost: $240.81/claim|Median: $101.33
2.4× median
D7140Normal range

Extraction, erupted tooth or exposed root

$441K

11K claims · 2.4%

Your Cost: $41.01/claim|Median: $57.39
0.7× median
D0140Normal range

Limited oral evaluation, problem focused

$366K

16K claims · 2.0%

Your Cost: $23.55/claim|Median: $27.07
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$250K

3,707 claims · 1.4%

Your Cost: $67.42/claim|Median: $71.00
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$203K

6,677 claims · 1.1%

Your Cost: $30.47/claim|Median: $32.07
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$158K

4,874 claims · 0.9%

Your Cost: $32.44/claim|Median: $46.33
0.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$157K

18K claims · 0.9%

Your Cost: $8.65/claim|Median: $10.51
0.8× median
D4341Normal range

Periodontal scaling, per quadrant

$144K

3,751 claims · 0.8%

Your Cost: $38.40/claim|Median: $70.00
0.5× median
D1110Normal range

Prophylaxis, adult cleaning

$144K

3,624 claims · 0.8%

Your Cost: $39.69/claim|Median: $43.38
0.9× median
D0120Top 25%

Periodic oral evaluation, established patient

$131K

4,208 claims · 0.7%

Your Cost: $31.19/claim|Median: $24.34
1.3× median
D1206Normal range

Topical application of fluoride varnish

$94K

5,796 claims · 0.5%

Your Cost: $16.24/claim|Median: $18.12
0.9× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$56K

613 claims · 0.3%

Your Cost: $91.34/claim|Median: $84.26
1.1× median
D2391Normal range

Resin-based composite, one surface, posterior

$55K

1,173 claims · 0.3%

Your Cost: $46.78/claim|Median: $54.60
0.9× median
D0274Normal range

Bitewings, four radiographic images

$48K

3,793 claims · 0.3%

Your Cost: $12.60/claim|Median: $22.54
0.6× median
D0270Normal range

$48K

7,036 claims · 0.3%

Your Cost: $6.79/claim|Median: $5.46
1.2× median
D0330Normal range

Panoramic radiographic image

$39K

1,630 claims · 0.2%

Your Cost: $23.66/claim|Median: $37.36
0.6× median
D1999Normal range

$38K

3,125 claims · 0.2%

Your Cost: $12.02/claim|Median: $11.95
1.0× median
D4910Normal range

$32K

883 claims · 0.2%

Your Cost: $36.28/claim|Median: $75.56
0.5× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$28K

13K claims · 0.2%

Your Cost: $2.09/claim|Median: $7.33
0.3× median
D9992Normal range

$22K

1,543 claims · 0.1%

Your Cost: $14.33/claim|Median: $13.97
1.0× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$12K

103 claims · 0.1%

Your Cost: $112.41/claim|Median: $109.42
1.0× median
D4342Normal range

$9K

842 claims · 0.1%

Your Cost: $11.24/claim|Median: $42.00
0.3× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$2K

25 claims · 0.0%

Your Cost: $71.26/claim|Median: $73.58
1.0× median
D9110Top 25%

$861

14 claims · 0.0%

Your Cost: $61.51/claim|Median: $38.08
1.6× median
D1120Normal range

Prophylaxis, adult

$850

44 claims · 0.0%

Your Cost: $19.32/claim|Median: $33.86
0.6× median
D9995Normal range

$180

18 claims · 0.0%

Your Cost: $10.00/claim|Median: $13.12
0.8× median
D0272Normal range

Bitewings, two radiographic images

$131

12 claims · 0.0%

Your Cost: $10.94/claim|Median: $15.81
0.7× median
D0171Normal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $14.08
D0603Normal range

$0

452 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
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