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Provider 1205131430

NPI: 1205131430Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$13.0M

$12,967,122

Total Claims

322K

Beneficiaries

290K

1.1 claims/patient

Avg Cost/Claim

$40

Monthly Spending Trend

Yearly Spending

2018
$1.6M
+17%
2019
$1.9M
-16%
2020
$1.6M
+45%
2021
$2.3M
+17%
2022
$2.7M
-30%
2023
$1.9M
-37%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (D1110 (Prophylaxis, adult cleaning)) accounts for 8% of total spending.

D1110Normal range

Prophylaxis, adult cleaning

$1.0M

22K claims · 7.8%

Your Cost: $45.71/claim|Median: $43.38
1.1× median
D1206Normal range

Topical application of fluoride varnish

$1.0M

53K claims · 7.8%

Your Cost: $18.94/claim|Median: $18.12
1.0× median
D2150Top 5%

Amalgam, two surfaces, primary or permanent

$1.0M

8,895 claims · 7.7%

Your Cost: $112.93/claim|Median: $66.00
1.7× median
D0120Normal range

Periodic oral evaluation, established patient

$968K

40K claims · 7.5%

Your Cost: $23.93/claim|Median: $24.34
1.0× median
D8080Top 10%

Comprehensive orthodontic treatment, adolescent dentition

$903K

369 claims · 7.0%

Your Cost: $2,448.26/claim|Median: $968.00
2.5× median
D1120Normal range

Prophylaxis, adult

$885K

26K claims · 6.8%

Your Cost: $33.51/claim|Median: $33.86
1.0× median
D1351Top 25%

Sealant, per tooth

$713K

20K claims · 5.5%

Your Cost: $35.33/claim|Median: $26.10
1.4× median
D8660Top 25%

$692K

4,953 claims · 5.3%

Your Cost: $139.76/claim|Median: $67.74
2.1× median
D2930Normal range

Prefabricated stainless steel crown, primary tooth

$652K

5,203 claims · 5.0%

Your Cost: $125.22/claim|Median: $120.85
1.0× median
D0350Top 5%

$496K

13K claims · 3.8%

Your Cost: $37.75/claim|Median: $9.73
3.9× median
D0274Top 25%

Bitewings, four radiographic images

$488K

16K claims · 3.8%

Your Cost: $30.25/claim|Median: $22.54
1.3× median
D0230Top 5%

Intraoral, periapical radiographic image, first film

$448K

17K claims · 3.5%

Your Cost: $26.37/claim|Median: $7.33
3.6× median
D9230Normal range

Inhalation of nitrous oxide/analgesia, anxiolysis

$426K

14K claims · 3.3%

Your Cost: $31.29/claim|Median: $26.24
1.2× median
D2140Top 5%

Amalgam, one surface, primary or permanent

$417K

4,691 claims · 3.2%

Your Cost: $88.93/claim|Median: $52.77
1.7× median
D0272Top 25%

Bitewings, two radiographic images

$333K

16K claims · 2.6%

Your Cost: $21.12/claim|Median: $15.81
1.3× median
D0330Top 25%

Panoramic radiographic image

$298K

5,679 claims · 2.3%

Your Cost: $52.52/claim|Median: $37.36
1.4× median
D0220Top 25%

Intraoral periapical radiographic image, first film

$279K

22K claims · 2.2%

Your Cost: $12.74/claim|Median: $10.51
1.2× median
D8670Normal range

Periodic orthodontic treatment visit

$264K

2,093 claims · 2.0%

Your Cost: $126.16/claim|Median: $185.01
0.7× median
D0340Top 25%

$238K

4,083 claims · 1.8%

Your Cost: $58.35/claim|Median: $49.44
1.2× median
D1353Top 10%

$229K

6,543 claims · 1.8%

Your Cost: $34.98/claim|Median: $14.03
2.5× median
D2391Top 10%

Resin-based composite, one surface, posterior

$202K

1,965 claims · 1.6%

Your Cost: $102.90/claim|Median: $54.60
1.9× median
D7240Top 25%

Extraction, impacted tooth, complete bony

$188K

677 claims · 1.4%

Your Cost: $277.03/claim|Median: $231.00
1.2× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$154K

3,845 claims · 1.2%

Your Cost: $40.00/claim|Median: $32.07
1.2× median
D2160Top 5%

Amalgam filling, three surfaces

$153K

1,064 claims · 1.2%

Your Cost: $144.19/claim|Median: $78.55
1.8× median
D0470Top 25%

$134K

2,849 claims · 1.0%

Your Cost: $47.10/claim|Median: $34.50
1.4× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$101K

1,006 claims · 0.8%

Your Cost: $100.41/claim|Median: $57.39
1.7× median
D0145Normal range

Oral evaluation for patient under 3 years, counseling

$50K

1,565 claims · 0.4%

Your Cost: $31.79/claim|Median: $57.30
0.6× median
D7111Normal range

$49K

899 claims · 0.4%

Your Cost: $54.09/claim|Median: $49.49
1.1× median
D0140Normal range

Limited oral evaluation, problem focused

$42K

1,247 claims · 0.3%

Your Cost: $34.06/claim|Median: $27.07
1.3× median
D2392Top 10%

Resin-based composite, two surfaces, posterior

$36K

275 claims · 0.3%

Your Cost: $130.78/claim|Median: $71.00
1.8× median
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