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Provider 1194242859

NPI: 1194242859Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$17.0M

$17,040,843

Total Claims

600K

Beneficiaries

496K

1.2 claims/patient

Avg Cost/Claim

$28

Monthly Spending Trend

Yearly Spending

2018
$2.3M
+6%
2019
$2.4M
-15%
2020
$2.0M
+21%
2021
$2.5M
-10%
2022
$2.2M
+40%
2023
$3.1M
-20%
2024
$2.5M

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 12% of total spending.

D0120Normal range

Periodic oral evaluation, established patient

$2.0M

79K claims · 11.8%

Your Cost: $25.44/claim|Median: $24.34
1.0× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$1.5M

23K claims · 9.0%

Your Cost: $65.13/claim|Median: $71.00
0.9× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$1.3M

8,849 claims · 7.8%

Your Cost: $149.37/claim|Median: $120.85
1.2× median
D1120Normal range

Prophylaxis, adult

$1.3M

56K claims · 7.6%

Your Cost: $23.23/claim|Median: $33.86
0.7× median
D1351Normal range

Sealant, per tooth

$1.2M

52K claims · 6.8%

Your Cost: $22.58/claim|Median: $26.10
0.9× median
D1208Normal range

Topical application of fluoride, excluding varnish

$1.1M

67K claims · 6.5%

Your Cost: $16.54/claim|Median: $14.36
1.2× median
D1110Normal range

Prophylaxis, adult cleaning

$1.0M

27K claims · 6.0%

Your Cost: $38.34/claim|Median: $43.38
0.9× median
D2391Normal range

Resin-based composite, one surface, posterior

$875K

16K claims · 5.1%

Your Cost: $53.72/claim|Median: $54.60
1.0× median
D9630Top 10%

$683K

16K claims · 4.0%

Your Cost: $42.17/claim|Median: $17.78
2.4× median
D0272Normal range

Bitewings, two radiographic images

$557K

56K claims · 3.3%

Your Cost: $9.99/claim|Median: $15.81
0.6× median
D7240Normal range

Extraction, impacted tooth, complete bony

$539K

3,523 claims · 3.2%

Your Cost: $153.05/claim|Median: $231.00
0.7× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$526K

25K claims · 3.1%

Your Cost: $21.16/claim|Median: $26.24
0.8× median
D8080Normal range

Comprehensive orthodontic treatment, adolescent dentition

$501K

1,855 claims · 2.9%

Your Cost: $270.00/claim|Median: $968.00
0.3× median
D0330Normal range

Panoramic radiographic image

$489K

13K claims · 2.9%

Your Cost: $36.79/claim|Median: $37.36
1.0× median
D9999Normal range

Unspecified adjunctive procedure, by report

$452K

15K claims · 2.7%

Your Cost: $29.40/claim|Median: $37.60
0.8× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$373K

5,214 claims · 2.2%

Your Cost: $71.62/claim|Median: $84.26
0.8× median
D1206Top 25%

Topical application of fluoride varnish

$343K

14K claims · 2.0%

Your Cost: $25.26/claim|Median: $18.12
1.4× median
D0240Normal range

$295K

36K claims · 1.7%

Your Cost: $8.13/claim|Median: $15.24
0.5× median
D7140Normal range

Extraction, erupted tooth or exposed root

$210K

3,777 claims · 1.2%

Your Cost: $55.54/claim|Median: $57.39
1.0× median
D2929Normal range

$204K

944 claims · 1.2%

Your Cost: $216.34/claim|Median: $154.83
1.4× median
D8670Normal range

Periodic orthodontic treatment visit

$191K

1,605 claims · 1.1%

Your Cost: $119.02/claim|Median: $185.01
0.6× median
D0140Normal range

Limited oral evaluation, problem focused

$180K

8,642 claims · 1.1%

Your Cost: $20.79/claim|Median: $27.07
0.8× median
D9248Normal range

$156K

2,798 claims · 0.9%

Your Cost: $55.64/claim|Median: $92.49
0.6× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$141K

3,759 claims · 0.8%

Your Cost: $37.41/claim|Median: $32.07
1.2× median
D0220Normal range

Intraoral periapical radiographic image, first film

$126K

16K claims · 0.7%

Your Cost: $8.08/claim|Median: $10.51
0.8× median
D1999Normal range

$119K

8,981 claims · 0.7%

Your Cost: $13.26/claim|Median: $11.95
1.1× median
D3220Normal range

Therapeutic pulpotomy

$100K

1,155 claims · 0.6%

Your Cost: $86.82/claim|Median: $81.27
1.1× median
D7230Normal range

Extraction, impacted tooth, partial bony

$95K

710 claims · 0.6%

Your Cost: $133.71/claim|Median: $187.09
0.7× median
D0274Normal range

Bitewings, four radiographic images

$88K

7,688 claims · 0.5%

Your Cost: $11.41/claim|Median: $22.54
0.5× median
D2332Normal range

$66K

749 claims · 0.4%

Your Cost: $87.92/claim|Median: $87.21
1.0× median
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