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Provider 1194810143

NPI: 1194810143Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$7.7M

$7,651,654

Total Claims

197K

Beneficiaries

174K

1.1 claims/patient

Avg Cost/Claim

$39

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-8%
2019
$1.1M
-14%
2020
$928K
+21%
2021
$1.1M
-9%
2022
$1.0M
+14%
2023
$1.2M
+1%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 18% of total spending.

D1120Top 25%

Prophylaxis, adult

$1.4M

32K claims · 17.8%

Your Cost: $42.02/claim|Median: $33.86
1.2× median
D1206Top 5%

Topical application of fluoride varnish

$1.1M

33K claims · 14.9%

Your Cost: $34.61/claim|Median: $18.12
1.9× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$937K

8,762 claims · 12.2%

Your Cost: $106.92/claim|Median: $71.00
1.5× median
D7140Top 25%

Extraction, erupted tooth or exposed root

$508K

5,984 claims · 6.6%

Your Cost: $84.92/claim|Median: $57.39
1.5× median
D0120Normal range

Periodic oral evaluation, established patient

$502K

24K claims · 6.6%

Your Cost: $20.50/claim|Median: $24.34
0.8× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$482K

3,585 claims · 6.3%

Your Cost: $134.33/claim|Median: $120.85
1.1× median
D2391Top 25%

Resin-based composite, one surface, posterior

$338K

4,396 claims · 4.4%

Your Cost: $76.81/claim|Median: $54.60
1.4× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$328K

11K claims · 4.3%

Your Cost: $29.97/claim|Median: $26.24
1.1× median
D1351Normal range

Sealant, per tooth

$326K

9,892 claims · 4.3%

Your Cost: $32.98/claim|Median: $26.10
1.3× median
D0272Top 10%

Bitewings, two radiographic images

$260K

11K claims · 3.4%

Your Cost: $23.97/claim|Median: $15.81
1.5× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$203K

14K claims · 2.7%

Your Cost: $14.99/claim|Median: $10.51
1.4× median
D0230Top 10%

Intraoral, periapical radiographic image, first film

$151K

11K claims · 2.0%

Your Cost: $13.59/claim|Median: $7.33
1.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$140K

3,994 claims · 1.8%

Your Cost: $34.97/claim|Median: $32.07
1.1× median
D0330Top 25%

Panoramic radiographic image

$124K

2,060 claims · 1.6%

Your Cost: $59.97/claim|Median: $37.36
1.6× median
D0274Top 25%

Bitewings, four radiographic images

$113K

3,329 claims · 1.5%

Your Cost: $33.98/claim|Median: $22.54
1.5× median
D9920Normal range

$112K

4,466 claims · 1.5%

Your Cost: $24.99/claim|Median: $44.88
0.6× median
D3220Top 1%

Therapeutic pulpotomy

$95K

344 claims · 1.2%

Your Cost: $275.00/claim|Median: $81.27
3.4× median
D1310Normal range

Nutritional counseling for control of dental disease

$73K

2,153 claims · 1.0%

Your Cost: $34.00/claim|Median: $40.52
0.8× median
D7111Normal range

$70K

1,305 claims · 0.9%

Your Cost: $54.00/claim|Median: $49.49
1.1× median
D1330Top 5%

$70K

2,322 claims · 0.9%

Your Cost: $30.00/claim|Median: $5.73
5.2× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$66K

2,215 claims · 0.9%

Your Cost: $29.73/claim|Median: $57.30
0.5× median
D0140Normal range

Limited oral evaluation, problem focused

$64K

1,954 claims · 0.8%

Your Cost: $32.98/claim|Median: $27.07
1.2× median
D3120Top 10%

$48K

1,273 claims · 0.6%

Your Cost: $37.80/claim|Median: $24.98
1.5× median
D9992Top 25%

$45K

2,038 claims · 0.6%

Your Cost: $21.99/claim|Median: $13.97
1.6× median
D1110Top 25%

Prophylaxis, adult cleaning

$32K

522 claims · 0.4%

Your Cost: $60.88/claim|Median: $43.38
1.4× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$30K

207 claims · 0.4%

Your Cost: $147.00/claim|Median: $84.26
1.7× median
D1510Top 25%

$24K

119 claims · 0.3%

Your Cost: $200.00/claim|Median: $147.00
1.4× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$4K

62 claims · 0.1%

Your Cost: $72.00/claim|Median: $66.63
1.1× median
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