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Provider 1184824203

NPI: 1184824203Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$10.3M

$10,314,659

Total Claims

238K

Beneficiaries

209K

1.1 claims/patient

Avg Cost/Claim

$43

Monthly Spending Trend

Yearly Spending

2018
$2.1M
-6%
2019
$2.0M
-32%
2020
$1.4M
-7%
2021
$1.3M
-40%
2022
$752K
+38%
2023
$1.0M
+75%
2024
$1.8M

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 70% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$7.2M

69K claims · 70.2%

Your Cost: $105.24/claim|Median: $121.16
0.9× median
D0140Normal range

Limited oral evaluation, problem focused

$500K

21K claims · 4.8%

Your Cost: $24.18/claim|Median: $27.07
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$469K

11K claims · 4.5%

Your Cost: $40.82/claim|Median: $57.39
0.7× median
D0220Normal range

Intraoral periapical radiographic image, first film

$288K

35K claims · 2.8%

Your Cost: $8.28/claim|Median: $10.51
0.8× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$198K

6,315 claims · 1.9%

Your Cost: $31.30/claim|Median: $32.07
1.0× median
D0330Normal range

Panoramic radiographic image

$195K

7,033 claims · 1.9%

Your Cost: $27.72/claim|Median: $37.36
0.7× median
D1110Normal range

Prophylaxis, adult cleaning

$174K

4,502 claims · 1.7%

Your Cost: $38.65/claim|Median: $43.38
0.9× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$166K

5,292 claims · 1.6%

Your Cost: $31.42/claim|Median: $37.81
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$163K

6,952 claims · 1.6%

Your Cost: $23.40/claim|Median: $24.34
1.0× median
D1206Normal range

Topical application of fluoride varnish

$134K

8,763 claims · 1.3%

Your Cost: $15.33/claim|Median: $18.12
0.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$118K

1,941 claims · 1.1%

Your Cost: $60.78/claim|Median: $71.00
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$100K

2,305 claims · 1.0%

Your Cost: $43.21/claim|Median: $54.60
0.8× median
D0274Normal range

Bitewings, four radiographic images

$97K

9,104 claims · 0.9%

Your Cost: $10.71/claim|Median: $22.54
0.5× median
D0415Normal range

$80K

3,971 claims · 0.8%

Your Cost: $20.05/claim|Median: $20.05
1.0× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$59K

1,188 claims · 0.6%

Your Cost: $49.46/claim|Median: $53.41
0.9× median
D1999Normal range

$56K

4,916 claims · 0.5%

Your Cost: $11.46/claim|Median: $11.95
1.0× median
D4341Normal range

Periodontal scaling, per quadrant

$55K

2,064 claims · 0.5%

Your Cost: $26.77/claim|Median: $70.00
0.4× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$44K

24K claims · 0.4%

Your Cost: $1.88/claim|Median: $7.33
0.3× median
D0270Normal range

$27K

2,914 claims · 0.3%

Your Cost: $9.23/claim|Median: $5.46
1.7× median
D0272Normal range

Bitewings, two radiographic images

$23K

2,858 claims · 0.2%

Your Cost: $8.11/claim|Median: $15.81
0.5× median
D7210Normal range

Extraction, erupted tooth, surgical approach

$23K

230 claims · 0.2%

Your Cost: $99.58/claim|Median: $109.42
0.9× median
D0604Normal range

$22K

2,787 claims · 0.2%

Your Cost: $7.75/claim|Median: $7.95
1.0× median
D1120Normal range

Prophylaxis, adult

$20K

1,053 claims · 0.2%

Your Cost: $18.81/claim|Median: $33.86
0.6× median
D2150Normal range

Amalgam, two surfaces, primary or permanent

$15K

298 claims · 0.1%

Your Cost: $50.20/claim|Median: $66.00
0.8× median
D2140Normal range

Amalgam, one surface, primary or permanent

$9K

233 claims · 0.1%

Your Cost: $39.60/claim|Median: $52.77
0.8× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$9K

170 claims · 0.1%

Your Cost: $53.82/claim|Median: $57.85
0.9× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$5K

44 claims · 0.1%

Your Cost: $119.89/claim|Median: $84.26
1.4× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$4K

84 claims · 0.0%

Your Cost: $50.60/claim|Median: $73.58
0.7× median
90471Normal range

Immunization administration, 1 vaccine, percutaneous/ID/SC/IM

$4K

265 claims · 0.0%

Your Cost: $13.86/claim|Median: $9.80
1.4× median
99212Normal range

Office/outpatient visit, low complexity

$3K

168 claims · 0.0%

Your Cost: $20.61/claim|Median: $25.06
0.8× median
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