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Provider 1225028657

NPI: 1225028657Share
Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$8.6M

$8,635,880

Total Claims

241K

Beneficiaries

227K

1.1 claims/patient

Avg Cost/Claim

$36

Monthly Spending Trend

Yearly Spending

2018
$1.5M
-1%
2019
$1.5M
-39%
2020
$900K
+38%
2021
$1.2M
+2%
2022
$1.3M
-8%
2023
$1.2M
-11%
2024
$1.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (D1120 (Prophylaxis, adult)) accounts for 30% of total spending.

D1120Top 25%

Prophylaxis, adult

$2.6M

62K claims · 30.5%

Your Cost: $42.42/claim|Median: $33.86
1.3× median
D0120Top 25%

Periodic oral evaluation, established patient

$1.9M

60K claims · 22.4%

Your Cost: $32.14/claim|Median: $24.34
1.3× median
D1206Top 25%

Topical application of fluoride varnish

$1.1M

44K claims · 13.1%

Your Cost: $25.80/claim|Median: $18.12
1.4× median
D1208Top 5%

Topical application of fluoride, excluding varnish

$550K

20K claims · 6.4%

Your Cost: $27.55/claim|Median: $14.36
1.9× median
D2392Normal range

Resin-based composite, two surfaces, posterior

$464K

4,934 claims · 5.4%

Your Cost: $93.99/claim|Median: $71.00
1.3× median
D1351Top 25%

Sealant, per tooth

$417K

12K claims · 4.8%

Your Cost: $34.50/claim|Median: $26.10
1.3× median
D0272Top 5%

Bitewings, two radiographic images

$407K

14K claims · 4.7%

Your Cost: $29.69/claim|Median: $15.81
1.9× median
D0274Top 5%

Bitewings, four radiographic images

$374K

8,509 claims · 4.3%

Your Cost: $43.95/claim|Median: $22.54
1.9× median
D9230Top 5%

Inhalation of nitrous oxide/analgesia, anxiolysis

$306K

5,714 claims · 3.5%

Your Cost: $53.52/claim|Median: $26.24
2.0× median
D0330Top 5%

Panoramic radiographic image

$147K

1,907 claims · 1.7%

Your Cost: $76.91/claim|Median: $37.36
2.1× median
D0140Top 25%

Limited oral evaluation, problem focused

$71K

1,646 claims · 0.8%

Your Cost: $43.31/claim|Median: $27.07
1.6× median
D0150Top 25%

Comprehensive oral evaluation, new or established patient

$45K

735 claims · 0.5%

Your Cost: $60.59/claim|Median: $32.07
1.9× median
D0220Top 10%

Intraoral periapical radiographic image, first film

$41K

2,497 claims · 0.5%

Your Cost: $16.45/claim|Median: $10.51
1.6× median
D7140Top 10%

Extraction, erupted tooth or exposed root

$35K

356 claims · 0.4%

Your Cost: $99.15/claim|Median: $57.39
1.7× median
D2930Top 25%

Prefabricated stainless steel crown, primary tooth

$31K

177 claims · 0.4%

Your Cost: $177.19/claim|Median: $120.85
1.5× median
D2391Top 25%

Resin-based composite, one surface, posterior

$22K

269 claims · 0.3%

Your Cost: $81.15/claim|Median: $54.60
1.5× median
D3220Top 10%

Therapeutic pulpotomy

$11K

84 claims · 0.1%

Your Cost: $126.94/claim|Median: $81.27
1.6× median
D2393Top 25%

Resin-based composite, three surfaces, posterior

$10K

76 claims · 0.1%

Your Cost: $127.35/claim|Median: $84.26
1.5× median
D2150Top 10%

Amalgam, two surfaces, primary or permanent

$9K

95 claims · 0.1%

Your Cost: $94.97/claim|Median: $66.00
1.4× median
D1354Normal range

$3K

432 claims · 0.0%

Your Cost: $7.83/claim|Median: $12.52
0.6× median
D0425Top 25%

$573

13 claims · 0.0%

Your Cost: $44.10/claim|Median: $40.39
1.1× median
D1110Normal range

Prophylaxis, adult cleaning

$399

12 claims · 0.0%

Your Cost: $33.28/claim|Median: $43.38
0.8× median
D0415Normal range

$0

26 claims · 0.0%

Your Cost: $0.00/claim|Median: $20.05
D1999Normal range

$0

2,178 claims · 0.0%

Your Cost: $0.00/claim|Median: $11.95
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