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Provider 1184934903

NPI: 1184934903Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.2M

$8,183,413

Total Claims

173K

Beneficiaries

154K

1.1 claims/patient

Avg Cost/Claim

$47

Monthly Spending Trend

Yearly Spending

2018
$859K
+24%
2019
$1.1M
-2%
2020
$1.0M
+14%
2021
$1.2M
+17%
2022
$1.4M
-4%
2023
$1.3M
-4%
2024
$1.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D2392 (Resin-based composite, two surfaces, posterior)) accounts for 16% of total spending.

D2392Top 5%

Resin-based composite, two surfaces, posterior

$1.3M

9,693 claims · 16.0%

Your Cost: $134.78/claim|Median: $71.00
1.9× median
D4342Top 25%

$637K

6,653 claims · 7.8%

Your Cost: $95.74/claim|Median: $42.00
2.3× median
D2391Top 5%

Resin-based composite, one surface, posterior

$618K

5,914 claims · 7.6%

Your Cost: $104.56/claim|Median: $54.60
1.9× median
D2740Normal range

Crown, porcelain/ceramic substrate

$550K

1,001 claims · 6.7%

Your Cost: $549.75/claim|Median: $509.58
1.1× median
D0120Normal range

Periodic oral evaluation, established patient

$480K

20K claims · 5.9%

Your Cost: $23.95/claim|Median: $24.34
1.0× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$373K

30K claims · 4.6%

Your Cost: $12.57/claim|Median: $10.51
1.2× median
D4910Normal range

$364K

5,212 claims · 4.4%

Your Cost: $69.75/claim|Median: $75.56
0.9× median
D4346Normal range

$348K

7,607 claims · 4.3%

Your Cost: $45.80/claim|Median: $61.42
0.7× median
D1110Normal range

Prophylaxis, adult cleaning

$328K

6,900 claims · 4.0%

Your Cost: $47.52/claim|Median: $43.38
1.1× median
D0210Top 10%

Intraoral, complete series of radiographic images

$317K

4,437 claims · 3.9%

Your Cost: $71.49/claim|Median: $46.33
1.5× median
D1120Normal range

Prophylaxis, adult

$313K

9,102 claims · 3.8%

Your Cost: $34.35/claim|Median: $33.86
1.0× median
D1206Normal range

Topical application of fluoride varnish

$286K

15K claims · 3.5%

Your Cost: $19.56/claim|Median: $18.12
1.1× median
D0350Top 10%

$233K

7,177 claims · 2.9%

Your Cost: $32.50/claim|Median: $9.73
3.3× median
D0274Top 25%

Bitewings, four radiographic images

$223K

7,529 claims · 2.7%

Your Cost: $29.62/claim|Median: $22.54
1.3× median
D0180Normal range

$179K

4,233 claims · 2.2%

Your Cost: $42.21/claim|Median: $35.21
1.2× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$167K

9,453 claims · 2.0%

Your Cost: $17.62/claim|Median: $7.33
2.4× median
D7210Top 10%

Extraction, erupted tooth, surgical approach

$159K

975 claims · 1.9%

Your Cost: $162.73/claim|Median: $109.42
1.5× median
D9243Top 25%

$148K

677 claims · 1.8%

Your Cost: $218.31/claim|Median: $81.52
2.7× median
D0140Normal range

Limited oral evaluation, problem focused

$147K

4,252 claims · 1.8%

Your Cost: $34.48/claim|Median: $27.07
1.3× median
D8660Top 25%

$128K

917 claims · 1.6%

Your Cost: $139.26/claim|Median: $67.74
2.1× median
D2393Top 10%

Resin-based composite, three surfaces, posterior

$95K

578 claims · 1.2%

Your Cost: $163.99/claim|Median: $84.26
1.9× median
D7240Normal range

Extraction, impacted tooth, complete bony

$79K

288 claims · 1.0%

Your Cost: $275.71/claim|Median: $231.00
1.2× median
D0240Normal range

$72K

3,645 claims · 0.9%

Your Cost: $19.81/claim|Median: $15.24
1.3× median
D9239Top 25%

$70K

663 claims · 0.9%

Your Cost: $105.04/claim|Median: $73.67
1.4× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$67K

1,697 claims · 0.8%

Your Cost: $39.40/claim|Median: $32.07
1.2× median
D1351Top 25%

Sealant, per tooth

$65K

1,873 claims · 0.8%

Your Cost: $34.74/claim|Median: $26.10
1.3× median
D0340Top 25%

$51K

885 claims · 0.6%

Your Cost: $57.39/claim|Median: $49.44
1.2× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$45K

457 claims · 0.6%

Your Cost: $99.19/claim|Median: $57.39
1.7× median
D0272Top 25%

Bitewings, two radiographic images

$38K

1,828 claims · 0.5%

Your Cost: $21.01/claim|Median: $15.81
1.3× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$34K

1,095 claims · 0.4%

Your Cost: $31.07/claim|Median: $26.24
1.2× median
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