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Provider 1184141962

NPI: 1184141962Share
Active Billing Period:2018-01→2024-12(82 months)

Total Paid

$14.6M

$14,645,286

Total Claims

447K

Beneficiaries

404K

1.1 claims/patient

Avg Cost/Claim

$33

Monthly Spending Trend

Yearly Spending

2018
$2.9M
+0%
2019
$2.9M
-49%
2020
$1.5M
+10%
2021
$1.7M
+16%
2022
$1.9M
-5%
2023
$1.8M
+3%
2024
$1.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D0120 (Periodic oral evaluation, established patient)) accounts for 18% of total spending.

D0120Top 10%

Periodic oral evaluation, established patient

$2.6M

47K claims · 17.6%

Your Cost: $55.05/claim|Median: $24.34
2.3× median
D1120Normal range

Prophylaxis, adult

$2.5M

65K claims · 17.0%

Your Cost: $38.18/claim|Median: $33.86
1.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$1.3M

11K claims · 8.6%

Your Cost: $113.98/claim|Median: $120.85
0.9× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$965K

17K claims · 6.6%

Your Cost: $58.31/claim|Median: $32.07
1.8× median
D0230Top 25%

Intraoral, periapical radiographic image, first film

$933K

72K claims · 6.4%

Your Cost: $13.00/claim|Median: $7.33
1.8× median
D1310Normal range

Nutritional counseling for control of dental disease

$882K

20K claims · 6.0%

Your Cost: $44.98/claim|Median: $40.52
1.1× median
D9993Normal range

$648K

10K claims · 4.4%

Your Cost: $63.11/claim|Median: $62.07
1.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$626K

11K claims · 4.3%

Your Cost: $56.99/claim|Median: $57.39
1.0× median
D1208Normal range

Topical application of fluoride, excluding varnish

$546K

48K claims · 3.7%

Your Cost: $11.31/claim|Median: $14.36
0.8× median
D9230Top 25%

Inhalation of nitrous oxide/analgesia, anxiolysis

$539K

14K claims · 3.7%

Your Cost: $38.56/claim|Median: $26.24
1.5× median
D1206Normal range

Topical application of fluoride varnish

$357K

16K claims · 2.4%

Your Cost: $22.12/claim|Median: $18.12
1.2× median
D3220Top 25%

Therapeutic pulpotomy

$356K

3,618 claims · 2.4%

Your Cost: $98.38/claim|Median: $81.27
1.2× median
D0274Normal range

Bitewings, four radiographic images

$330K

16K claims · 2.3%

Your Cost: $21.07/claim|Median: $22.54
0.9× median
D0272Normal range

Bitewings, two radiographic images

$320K

27K claims · 2.2%

Your Cost: $11.65/claim|Median: $15.81
0.7× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$269K

4,031 claims · 1.8%

Your Cost: $66.66/claim|Median: $66.00
1.0× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$268K

4,581 claims · 1.8%

Your Cost: $58.48/claim|Median: $57.30
1.0× median
D1351Normal range

Sealant, per tooth

$259K

10K claims · 1.8%

Your Cost: $24.86/claim|Median: $26.10
1.0× median
D0603Top 25%

$192K

13K claims · 1.3%

Your Cost: $14.78/claim|Median: $6.54
2.3× median
D0220Normal range

Intraoral periapical radiographic image, first film

$153K

13K claims · 1.0%

Your Cost: $11.74/claim|Median: $10.51
1.1× median
D8670Top 25%

Periodic orthodontic treatment visit

$132K

464 claims · 0.9%

Your Cost: $284.35/claim|Median: $185.01
1.5× median
D2140Normal range

Amalgam, one surface, primary or permanent

$117K

2,173 claims · 0.8%

Your Cost: $53.76/claim|Median: $52.77
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$81K

2,378 claims · 0.6%

Your Cost: $33.89/claim|Median: $27.07
1.3× median
D0350Normal range

$72K

8,370 claims · 0.5%

Your Cost: $8.54/claim|Median: $9.73
0.9× median
D1510Normal range

$57K

498 claims · 0.4%

Your Cost: $114.22/claim|Median: $147.00
0.8× median
D0330Normal range

Panoramic radiographic image

$48K

1,694 claims · 0.3%

Your Cost: $28.38/claim|Median: $37.36
0.8× median
D0602Top 25%

$47K

3,202 claims · 0.3%

Your Cost: $14.70/claim|Median: $6.95
2.1× median
D9430Normal range

$42K

1,525 claims · 0.3%

Your Cost: $27.31/claim|Median: $31.69
0.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$37K

556 claims · 0.3%

Your Cost: $67.08/claim|Median: $71.00
0.9× median
D0601Top 25%

$24K

1,670 claims · 0.2%

Your Cost: $14.26/claim|Median: $7.50
1.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$23K

431 claims · 0.2%

Your Cost: $54.35/claim|Median: $54.60
1.0× median
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