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Provider 1205385465

NPI: 1205385465Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$8.9M

$8,902,772

Total Claims

84K

Beneficiaries

70K

1.2 claims/patient

Avg Cost/Claim

$105

Monthly Spending Trend

Yearly Spending

2018
$1.2M
-6%
2019
$1.1M
-17%
2020
$925K
-2%
2021
$903K
+10%
2022
$993K
+77%
2023
$1.8M
+16%
2024
$2.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 28 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 88% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$7.8M

35K claims · 88.1%

Your Cost: $222.78/claim|Median: $121.16
1.8× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$157K

2,590 claims · 1.8%

Your Cost: $60.47/claim|Median: $71.00
0.9× median
D0150Normal range

Comprehensive oral evaluation, new or established patient

$137K

4,235 claims · 1.5%

Your Cost: $32.32/claim|Median: $32.07
1.0× median
D0140Normal range

Limited oral evaluation, problem focused

$127K

5,424 claims · 1.4%

Your Cost: $23.43/claim|Median: $27.07
0.9× median
D0210Normal range

Intraoral, complete series of radiographic images

$112K

3,126 claims · 1.3%

Your Cost: $35.83/claim|Median: $46.33
0.8× median
D1110Normal range

Prophylaxis, adult cleaning

$75K

2,051 claims · 0.8%

Your Cost: $36.80/claim|Median: $43.38
0.8× median
D2391Normal range

Resin-based composite, one surface, posterior

$70K

1,539 claims · 0.8%

Your Cost: $45.65/claim|Median: $54.60
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$70K

2,621 claims · 0.8%

Your Cost: $26.63/claim|Median: $24.34
1.1× median
D0220Normal range

Intraoral periapical radiographic image, first film

$64K

7,643 claims · 0.7%

Your Cost: $8.37/claim|Median: $10.51
0.8× median
D4341Normal range

Periodontal scaling, per quadrant

$63K

1,859 claims · 0.7%

Your Cost: $33.75/claim|Median: $70.00
0.5× median
D1206Normal range

Topical application of fluoride varnish

$50K

3,185 claims · 0.6%

Your Cost: $15.69/claim|Median: $18.12
0.9× median
D7140Normal range

Extraction, erupted tooth or exposed root

$26K

725 claims · 0.3%

Your Cost: $35.52/claim|Median: $57.39
0.6× median
D0274Normal range

Bitewings, four radiographic images

$25K

2,188 claims · 0.3%

Your Cost: $11.50/claim|Median: $22.54
0.5× median
D9992Normal range

$18K

1,271 claims · 0.2%

Your Cost: $14.29/claim|Median: $13.97
1.0× median
D0230Normal range

Intraoral, periapical radiographic image, first film

$15K

7,595 claims · 0.2%

Your Cost: $2.03/claim|Median: $7.33
0.3× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$12K

144 claims · 0.1%

Your Cost: $81.41/claim|Median: $84.26
1.0× median
D4910Normal range

$11K

318 claims · 0.1%

Your Cost: $34.02/claim|Median: $75.56
0.5× median
D0270Normal range

$8K

1,126 claims · 0.1%

Your Cost: $7.51/claim|Median: $5.46
1.4× median
D1999Normal range

$8K

613 claims · 0.1%

Your Cost: $12.96/claim|Median: $11.95
1.1× median
D0330Normal range

Panoramic radiographic image

$7K

248 claims · 0.1%

Your Cost: $28.26/claim|Median: $37.36
0.8× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$3K

50 claims · 0.0%

Your Cost: $59.48/claim|Median: $73.58
0.8× median
D1351Normal range

Sealant, per tooth

$2K

95 claims · 0.0%

Your Cost: $16.66/claim|Median: $26.10
0.6× median
D1120Normal range

Prophylaxis, adult

$1K

38 claims · 0.0%

Your Cost: $28.18/claim|Median: $33.86
0.8× median
D4342Normal range

$857

120 claims · 0.0%

Your Cost: $7.14/claim|Median: $42.00
0.2× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$842

15 claims · 0.0%

Your Cost: $56.12/claim|Median: $66.63
0.8× median
D9995Normal range

$120

13 claims · 0.0%

Your Cost: $9.23/claim|Median: $13.12
0.7× median
D4999Normal range

$0

151 claims · 0.0%

Your Cost: $0.00/claim|Median: $103.91
D0603Normal range

$0

242 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.54
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