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Provider 1184058984

NPI: 1184058984Share
Active Billing Period:2018-012024-12(63 months)

Total Paid

$9.0M

$8,971,519

Total Claims

127K

Beneficiaries

79K

1.6 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$8K
-66%
2019
$3K
+11142%
2020
$291K
+427%
2021
$1.5M
+24%
2022
$1.9M
+65%
2023
$3.1M
-34%
2024
$2.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2751 (Crown, porcelain fused to predominantly base metal)) accounts for 30% of total spending.

D2751Normal range

Crown, porcelain fused to predominantly base metal

$2.7M

5,729 claims · 30.1%

Your Cost: $471.36/claim|Median: $476.00
1.0× median
D1110Top 10%

Prophylaxis, adult cleaning

$552K

6,816 claims · 6.2%

Your Cost: $80.99/claim|Median: $43.38
1.9× median
D4341Normal range

Periodontal scaling, per quadrant

$516K

7,393 claims · 5.8%

Your Cost: $69.79/claim|Median: $70.00
1.0× median
D2954Normal range

$483K

4,694 claims · 5.4%

Your Cost: $102.93/claim|Median: $104.95
1.0× median
D0150Top 10%

Comprehensive oral evaluation, new or established patient

$472K

7,186 claims · 5.3%

Your Cost: $65.69/claim|Median: $32.07
2.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$401K

6,020 claims · 4.5%

Your Cost: $66.64/claim|Median: $71.00
0.9× median
D3320Normal range

$367K

1,015 claims · 4.1%

Your Cost: $361.73/claim|Median: $365.40
1.0× median
D0210Normal range

Intraoral, complete series of radiographic images

$329K

7,049 claims · 3.7%

Your Cost: $46.72/claim|Median: $46.33
1.0× median
D3330Normal range

Endodontic therapy, molar (excluding final restoration)

$314K

690 claims · 3.5%

Your Cost: $455.01/claim|Median: $463.40
1.0× median
D2391Normal range

Resin-based composite, one surface, posterior

$312K

5,785 claims · 3.5%

Your Cost: $53.90/claim|Median: $54.60
1.0× median
D3221Normal range

$256K

4,406 claims · 2.9%

Your Cost: $58.11/claim|Median: $63.00
0.9× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$247K

2,154 claims · 2.8%

Your Cost: $114.82/claim|Median: $109.42
1.0× median
D3310Normal range

$221K

737 claims · 2.5%

Your Cost: $299.94/claim|Median: $302.40
1.0× median
D4910Normal range

$215K

2,833 claims · 2.4%

Your Cost: $75.82/claim|Median: $75.56
1.0× median
D0350Normal range

$174K

25K claims · 1.9%

Your Cost: $6.88/claim|Median: $9.73
0.7× median
D9430Normal range

$168K

5,260 claims · 1.9%

Your Cost: $31.88/claim|Median: $31.69
1.0× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$160K

2,095 claims · 1.8%

Your Cost: $76.23/claim|Median: $66.63
1.1× median
D2931Normal range

$140K

1,138 claims · 1.6%

Your Cost: $123.45/claim|Median: $125.71
1.0× median
D2952Normal range

$118K

1,150 claims · 1.3%

Your Cost: $102.63/claim|Median: $104.69
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$113K

8,443 claims · 1.3%

Your Cost: $13.40/claim|Median: $14.36
0.9× median
D0120Top 5%

Periodic oral evaluation, established patient

$111K

1,458 claims · 1.2%

Your Cost: $76.42/claim|Median: $24.34
3.1× median
D4260Top 25%

$83K

170 claims · 0.9%

Your Cost: $490.00/claim|Median: $490.00
1.0× median
D5851Normal range

$79K

1,140 claims · 0.9%

Your Cost: $68.91/claim|Median: $69.49
1.0× median
D9951Normal range

$77K

2,297 claims · 0.9%

Your Cost: $33.54/claim|Median: $32.78
1.0× median
D5850Normal range

$70K

1,010 claims · 0.8%

Your Cost: $69.43/claim|Median: $69.47
1.0× median
D0220Normal range

Intraoral periapical radiographic image, first film

$48K

4,017 claims · 0.5%

Your Cost: $11.98/claim|Median: $10.51
1.1× median
D4342Normal range

$47K

1,125 claims · 0.5%

Your Cost: $41.52/claim|Median: $42.00
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$29K

6,992 claims · 0.3%

Your Cost: $4.22/claim|Median: $7.33
0.6× median
D1120Normal range

Prophylaxis, adult

$29K

731 claims · 0.3%

Your Cost: $39.65/claim|Median: $33.86
1.2× median
D0274Normal range

Bitewings, four radiographic images

$26K

1,234 claims · 0.3%

Your Cost: $21.09/claim|Median: $22.54
0.9× median