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Provider 1215038252

NPI: 1215038252Share
Active Billing Period:2020-01→2024-12(58 months)

Total Paid

$10.1M

$10,125,148

Total Claims

53K

Beneficiaries

34K

1.5 claims/patient

Avg Cost/Claim

$191

Monthly Spending Trend

Yearly Spending

2020
$969K
+120%
2021
$2.1M
-11%
2022
$1.9M
+24%
2023
$2.4M
+16%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 21 distinct procedure codes. The top code (41899 (Unlisted procedure, dentoalveolar structures)) accounts for 50% of total spending.

41899Normal range

Unlisted procedure, dentoalveolar structures

$5.1M

4,880 claims · 50.0%

Your Cost: $1,038.01/claim|Median: $763.43
1.4× median
D2930Top 5%

Prefabricated stainless steel crown, primary tooth

$3.9M

8,057 claims · 38.6%

Your Cost: $484.85/claim|Median: $120.85
4.0× median
D2933Top 5%

$517K

1,319 claims · 5.1%

Your Cost: $391.67/claim|Median: $145.67
2.7× median
D2392Top 25%

Resin-based composite, two surfaces, posterior

$424K

4,319 claims · 4.2%

Your Cost: $98.22/claim|Median: $71.00
1.4× median
D2391Top 5%

Resin-based composite, one surface, posterior

$87K

804 claims · 0.9%

Your Cost: $108.07/claim|Median: $54.60
2.0× median
D7140Normal range

Extraction, erupted tooth or exposed root

$32K

2,686 claims · 0.3%

Your Cost: $11.87/claim|Median: $57.39
0.2× median
D0120Normal range

Periodic oral evaluation, established patient

$31K

3,532 claims · 0.3%

Your Cost: $8.92/claim|Median: $24.34
0.4× median
D2929Top 1%

$21K

14 claims · 0.2%

Your Cost: $1,531.45/claim|Median: $154.83
9.9× median
D2330Normal range

Resin-based composite filling, one surface, anterior

$12K

332 claims · 0.1%

Your Cost: $37.65/claim|Median: $66.63
0.6× median
D3230Normal range

$9K

383 claims · 0.1%

Your Cost: $23.63/claim|Median: $98.27
0.2× median
D3220Normal range

Therapeutic pulpotomy

$8K

2,881 claims · 0.1%

Your Cost: $2.89/claim|Median: $81.27
0.0× median
D1120Normal range

Prophylaxis, adult

$5K

3,325 claims · 0.0%

Your Cost: $1.44/claim|Median: $33.86
0.0× median
D2393Normal range

Resin-based composite, three surfaces, posterior

$4K

163 claims · 0.0%

Your Cost: $21.92/claim|Median: $84.26
0.3× median
D2331Normal range

Resin-based composite filling, two surfaces, anterior

$2K

167 claims · 0.0%

Your Cost: $11.68/claim|Median: $73.58
0.2× median
D0240Normal range

$500

3,723 claims · 0.0%

Your Cost: $0.13/claim|Median: $15.24
0.0× median
D1206Normal range

Topical application of fluoride varnish

$0

3,616 claims · 0.0%

Your Cost: $0.00/claim|Median: $18.12
D0220Normal range

Intraoral periapical radiographic image, first film

$0

2,938 claims · 0.0%

Your Cost: $0.00/claim|Median: $10.51
D0272Normal range

Bitewings, two radiographic images

$0

2,888 claims · 0.0%

Your Cost: $0.00/claim|Median: $15.81
D1351Normal range

Sealant, per tooth

$0

153 claims · 0.0%

Your Cost: $0.00/claim|Median: $26.10
D0230Normal range

Intraoral, periapical radiographic image, first film

$0

6,807 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.33
D1510Normal range

$0

163 claims · 0.0%

Your Cost: $0.00/claim|Median: $147.00
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